colorado edition - Cannabis Career Institute [PDF]

COLORADO MASSACHUSETTS EDITION EDITION

PHASE ONE: DETERMINING BIG IDEA

PHASE TWO: OPERATIONALIZING BIG IDEA

PHASE THREE: ASSESSMENT DEVELOPMENT

PHASE FOUR: CHOREOGRAPHY OF EXECUTION

*SEQUENCE OF EVENTS *STRATEGY FOR THE FUTURE *IMPLEMENTATION OF PLAN FOR LONG-TERM SURVIVAL (INSURANCE, TAX STRUCTURES, RETIREMENT)

Copyright © 2012 420 Media Group/Robert Calkin

FUTURE STRATEGY

ACTION TEAM

DEMOGRAPHIC

*ACTION TEAM (ACCOUNTANT, ATTORNEY, WEBMASTER, SUPPLIER) *CREATE BENCHMARKS *MASTERY OF LEARNING GOALS *PERFORMANCE CRITERIA/LEVEL OF EXPECTATION/TARGET GOAL (SOFT/HARD OPENING)

BIG IDEA

*MASTERY OF LEARNING GOALS *ANALYZE BUDGET/TIMELINE *DECIDE SPECIALTY/NICHE *ANALYZE MARKET AND *ANSWER ESSENTIAL QUESTIONS DEMOGRAPHIC (RIGHT INDUSTRY, VISIBILITY, *DEVELOP BUSINESS PLAN ROLE/AGENDA) *DUE DILIGENCE (ZONING, NETWORKING, FUNDRAISING)

NICHE AGENDA BUSINESS PLAN DUE DILIGENCE

TABLE OF CONTENTS SECTION 1: BASIC COMPLIANCE .................................... 11 SECTION 2: LEGAL SECTION .......................................... 37 SECTION 3: CULTIVATION ............................................. 164 SECTION 4: BUDTENDING AND DISPENSARY MANAGEMENT ........................................ 204 SECTION 5: COOKING FOR THE TERMINALLY ILL ........... 251 SECTION 6: ACCOUNTING AND MERCHANT SERVICES ................................................. 306

PRIMARY MMJ INDUSTRY JOBS DISPENSARY MANAGER Dispensary Managers are the face of the dispensary. The manager must interface with the staff, law enforcement, vendors and landlords. He/she may or may not be the licensee. The main responsibility of the dispensary manager is to coordinate and facilitate the transactions of the dispensary. He must maintain records, maintain contact with the dispensary grow site as well as other grow site, embrace patient education and understand marketing. He/she must train employees and decide which products to carry and determine the best pricing based on market conditions. He/she is responsible for keeping up with all the changes in local and state law regarding operation of the facility. Often, if a dispensary is raided or if an unexpected visit is made the Department of Public Health, etc, the manager will be the one that will have to answer questions during an investigation and, in fact, could be the only one arrested. The most important job of the dispensary manager is to ensure that only the best and safest quality medicine is available at the dispensary. A Dispensary Manager will typically earn between $40,000 and $125,000 a year. BUDTENDER/AGENT Budtenders are responsible for greeting patients, orienting them about strains and use, methods of delivery and titration (dosage). They must know how each strain works to alleviate the different debilitating illnesses for which the cannabis was recommended.. For example, the Budtender must be keenly aware of the differences between the indica and sativa variations of cannabis and their hybrids. He/she is responsible to verify the patient’s entitlement to the medication. A good Budender should maintain a record of the effectiveness of the strain for the patient for long-term study and future reference. The Budtender also maintains records to prove the legitimacy of the dispensary. The Budtender should be personable, well groomed and knowledgeable about the industry. The Budtender is trained by the dispensary manager and should attend a formal Budtending seminar or school. The salary of a Budtender is either a). based on performance, b). is a salaried position or c). is based on an hourly wage. DELIVERY DRIVER/AGENT The Department of Public Health Services’ guidelines yet don’t provide for independent delivery driver services. Every driver must be an agent of a dispensary. Dispensaries may offer delivery services (subject to local zoning regulations) to patients who are infirm or homebound. The driver must be patient, kind and courteous with patients. Preferably they will like people and helping others. They must be good drivers with a clean driving record, if a patient, should never drive while impaired, and should know how to maneuver around the area. The dispensary will pay the driver by the delivery, by the day or based on the gross/performance.

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MASTER GROWER The Master Grower is in charge of overseeing the construction and design of the grow operation. He/she maintains the environment for the room and trains the Apprentices and/or Supervisors on how to do it themselves while /she is away. He/she is mainly there to see that the schedule and method advocated is followed according to specs and protocols. Daily records must be kept that document changes in chemicals and lighting for future reference and guidance and consistency. A well operated cultivation site should have a log that is created by the Master Grower (and preferably confirmed by an independent third party) and monitors each harvest so modification and alteration patterns can be studied. Master Growers are the highest paid of all the jobs in the MMJ industry. A Master Grower can command up to $125,000 an operation, but the salary is usually based on the length, size and yield of the grow operation. If you are operating a smaller cultivation site, a full time master grower may not be justified. CULTIVATION SUPERVISOR The Cultivation Supervisor oversees the Grow Crew and Trimmers. The Cultivation Supervisor is there to fill in for the Master Grower when he is unavailable. He is the equivalent of an understudy for the lead role in a play. He must know everything the Master Grower does, but he/she is paid less! He she maintains the day to day operations of the cultivation site and trains the remainder of the crew. The Cultivation Supervisor reports directly to the Master Grower. He/she may be paid hourly, weekly or monthly. TRIMMER/CULTIVATION SITE WORKERS Trimmers are responsible for the manicuring and preparing of the medicine. They must be able to take raw material and prepare it for curing. This entails cutting the buds off the branches and getting them ready for the Master Grower to cure. Trimmers are usually paid hourly from $10-25 depending on their speed and skill. Cultivation Site workers maintain the plants, ensuring that chemicals and lighting are monitored according to scheduled. Workers are usually paid hourly from $10-25 depending on their speed and skill. CANNABIS CHEF A Cannabis Chef should first and foremost be a good cook and should know the basics of culinary arts. Any infusion of edibles must be done in a commercial kitchen. The Cannabis Chef must be adept at baking, making tinctures, oils, cannabis butter, balms, extracts and chocolates. Salaries will vary according to the business plan and involvement with the dispensary. MEDICAL DIRECTOR A Medical Director must be a licensed physician in the state. He/she is responsible for patient education and the development of medical protocols for the patient. A Medical Director must identify his/her license, which is registered with the state. Medical Directors will either receive a percentage of dispensary sales or will be paid a negotiable flat rate. NOTE: Any and all prospective employees in the MMJ Industry, should submit to fingerprints, background check and photographs which have been taken no earlier than six (6) months prior to submission if they want to differentiate themselves from other applicants and gain an advantage.

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WHO ARE WE? Cannabis Career Institute is an innovator in the field of marijuana schools. We originated in March of 2009, following on the heels of and continuing the tradition of Oaksterdam University, the most successful marijuana school in the world. With more of a focus on business technique, Cannabis Career Institute has set the trend by creating a step-by-step method of doing business and providing it on a silver platter for students! The guidelines for how to create, brand and market a collective are all presented here along with options on what to do first, based on your timeline and budget. The goal of this marijuana school is empower the students by giving them the information they need to succeed in the world of cannabis. Whether they want to start their own medical marijuana delivery service, their own medical marijuana dispensary, their own medical marijuana edibles operation, their own medical marijuana grow-room or even their own medical marijuana school. Marijuana schools are popping up everywhere. However, they fail to recognize the fact that not only do you have to provide more than just general information about medical marijuana,

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you must present it in a way that is credible. Most marijuana schools do not have a staff that has a lifetime of experience in each field: Delivery, Dispensary Management, Law, Marketing and Advertising, Marijuana Cultivation and Cooking. Cannabis Career Institute does. Many marijuana schools were created by people who have absolutely no background in the cannabis business at all! Cannabis Career Institute has trained many of the people who have now started these schools! We are proud to have provided this training and information to many of these marijuana schools. However, make sure to check about the backgrounds of the owners of some of these marijuana schools as it may save you a bit of time and money!

Cannabis Career Institute’s definition of a marijuana school is one that provides a formula for success for its students. Our network of contacts is an invaluable support system that gives the students the ability to make informed choices about their business. Having the team there to answer their questions as they progress with the creation of their business is also something other marijuana schools don’t offer. When a student leaves CCI they will have a list of things to do and the confidence to accomplish those tasks. Cannabis Career Institute believes that knowledge is empowerment. Unlike most ‘marijuana schools’ CCI encourages their students to succeed by showing them the full picture and letting them decide how to create their business. Cannabis Career Institute believes that by achieving your goals, “your success is our success”.

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AWARDS Cannabis Career Institute is America’s FIRST and PREMIER marijuana business training center and created the methodology currently being employed by all the other schools in this industry aside from Oaksterdam! Our former students are now Captains of this industry thanks to us! Cannabis Career Institute was founded by Robert F. Calkin, a lifelong advocate of cannabis legalization and medical marijuana, in March 2009. He has been in the cannabis industry for over 30 years. He is a Delivery Service expert, marijuana business consultant and podcaster on the subject of creating marijuana businesses. He has helped create literally hundreds of marijuana businesses on his own and with the help of Cannabis Career Institute. He created his own Green Dot delivery service in Los Angeles in 1988. He was a chief organizer of attendees at one of the first Smoke-Ins on the Mall in Washington D.C. in 1976. As one of the original members of the American Hemp Council in 1988 with Chris Conrad and Jack Herer, he has always been at the forefront of cannabis advocacy. His band Rude Awakening has done numerous concerts benefitting the legalization of hemp and actively promote this message on their CDs and promotional materials. He was also asked to be a consultant on the TV show "WEEDS". He is currently the host of the show "Careers In Cannabis". Robert F. Calkin is the author of STARTING YOUR OWN MEDICAL MARIJUANA DELIVERY SERVICE:THE MOBILE CAREGIVER'S HANDBOOK. This book has sold thousands of copies and has been made into a DVD. The book is the curriculum for the Delivery 102 course taught at Oaksterdam University where Robert was Professor of Delivery for two years. Robert founded Cannabis Career Institute to provide a support system for people trying to start their own medical marijuana businesses, creating a curriculum focusing specifically on compliance and how to create and market brands. This has led to the successful launch of many student businesses. Robert and CCI have been featured on many TV and news outlets.

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Section 1: Basic Compliance “Delivery Service Dispensary Grow Operation Edibles Operation”

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WHAT ARE WE DOING HERE? One of the unfortunate realities of cannabis education is that everyone has a different level of experience and skill, different aspirations and temperaments and most importantly, different business plans. Just as every snowflake is different, so too will be your marijuana businesses. In this spirit, CCI brings you a curriculum that is relevant to everyone in this class -- in other words, we all must start from the same place when we decide to enter the cannabis industry. We must want to be compliant and do things legally and efficiently, so as to set a good example for our community and future, highly influenceable marijuana communities nationwide. We must set the standard and the example for these potential businesses and not go out there stumbling all over each other. There must be a clarity and uniformity of vision amongst ourselves, in order to effectively represent our patients, and our own interests. In short, you are all here to start your own businesses/collectives, whether it may be a delivery service, a dispensary, a grow operation or an edibles operation. From there, we need to inform you as to what all the known regulations and expectations there are for marijuana businesses, explain your options as far as cost and feasibility, and create a checklist of things to do to get your business up and running as quickly as you see fit. The following will be information that EVERYONE will need to know and cannot avoid knowing if you want to be a legal and compliant marijuana business manager or collective member.

WHAT DO WE ALL HAVE IN COMMON? We are here to get a crash course in marijuana business management, creation and branding. We will help you to be confident about what you are doing, be able to explain it clearly to friends and family, understand exactly what needs to be done to complete your project and start a checklist of things to do so you can leave here knowing EXACTLY what to do first, second and last! We want to help you erase the stigma of being in the marijuana business so you can proudly tell others what you do and how you can help them get into the industry too! Whether we want to be growers, budtenders, delivery people or edibles chefs we have many common bonds. The first is we all need to work together to be successful. This means we must be uniform in our mission and consistency of quality so it doesn’t reflect on the

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community as a whole. One bad apple truly can spoil the bunch! What we all have to know are the existing rules, regulations, guidelines and landmark court cases that have shaped the marijuana industry in California and the nation. We also must know the fundamentals of basic business--branding, marketing and sales.

1. DOCTOR’S RECOMMENDATIONS In order to be in the “marijuana business” (at least in California) to buy, grow, possess, distribute, deliver or cook medical marijuana etc. you MUST become a patient. A. State Law Compliance Guidelines 1. Physicians Recommendation: Patients must have a written or verbal reccomendation for medical marijuana from a licensed physician. (See p. 71) The first step in your journey, and the first thing to put on your checklist, is getting a proper doctor recommendation. As you may or may not know, a doctor can only “recommend” that you use medical marijuana not actually “prescribe” it to you. So, contrary to popular misconception, this is NOT a prescription. It is a recommendation. Why? Because we have a certain thing called “SCHEDULING” as a result of the Controlled Substances Act (http://en.wikipedia.org/wiki/Controlled_Substances_Act) marijuana is considered a Schedule 1 drug. Because marijuana and all Schedule 1 drugs are considered to have “no currently accepted medical use in treatment in the United States” doctors cannot prescribe them to anyone without fear of having their license revoked by the federal government. Until marijuana is “re-scheduled” or re-classified into a Schedule II drug, doctors can only recommend it. (http://en.wikipedia.org/wiki/Removal_of_cannabis_from_Schedule_I_of_the_ Controlled_Substances_Act) It is therefore of primary importance to choose a physician who is knowledgable, experienced and preferably a veteran of the industry. Someone who won’t go out of business tomorrow or is part of a shady group of doctors. Because if your doctor loses his license or goes out of business, your doctor’s recommendation immediately becomes invalid and you become “illegal”. Choosing a doctor that will potentially testify in court for you should you ever have a legal issue should be your first consideration.

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Is the doctor you are going to get your recommendation from a reputable practice and have they been around for a while? Google your potential doctor’s name and see what people have to say about them. According to the AG guidelines, this is the criteria for a medical marijuana doctor: Section (D). Recommending Physician: A recommending physician is a person who (1) possesses a license in good standing to practice medicine in California; (2) has taken responsibility for some aspect of the medical care, treatment, diagnosis, counseling, or referral of a patient; and (3) has complied with accepted medical standards (as described by the Medical Board of California in its May 13, 2004 press release) that a reasonable and prudent physician would follow when recommending or approving medical marijuana for the treatment of his or her patient.

START YOUR “ACTION TEAM” Finding the right medical marijuana doctor is the first step in assembling your “Action Team” -- the group of people who will help you and your business to do the things that you can’t do. Choosing a compassionate and professional doctor is key, particularly if you live in a state that has only recently legalized marijuana or doesn’t have a fully developed medical marijuana program. Before you make your appointment with the doctor you decide on, take some time to learn the laws in your community. You will get more out of your appointment that way. You will also feel more comfortable if you already know the laws and restrictions that apply to you and your use of medical marijuana. Once you are caught up on the relevant medical marijuana laws and regulations in your city/ state/county you have a choice to make: Go to your current physician and ask them about recommending medical marijuana, or find a different doctor that specializes in medical marijuana.

TALKING TO YOUR DOCTOR ABOUT MEDICAL MARIJUANA Some people feel more comfortable going to their own doctor to ask about getting medical marijuana. They might want to avoid having to send medical records out to another doctor or have privacy concerns. For others it is the exact opposite. They want a doctor who

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specializes in that and may not want their doctor to know they are using medical marijuana. If you want to go to your own doctor, there is a form you can bring with you to your appointment that allows the doctor to easily and quickly recommend medical marijuana for you. Doctors are protected legally from being prosecuted for recommending medical marijuana to patients, so your doctor should feel comfortable discussing this as an option for treatment (or to offer you a referral).

If your doctor is reluctant to recommend medical marijuana, either present him with evidence that it has helped you (personal anecdotes) and/or bring some research you have found that substantiates that it helps your particular condition. Also be ready to disclose any marijuana usage and how it affects your symptoms. After your doctor decides to recommend medical marijuana for you, you must get written documentation from him. This is your first piece of paper in a long paper trail that will hopefully convince any court of law that you have been trying to do everything legally from the very beginning. If you are ever prosecuted for any crime relating to medical marijuana this is the foundation of your defense. If your doctor is reluctant to recommend medical marijuana for you, or you are embarrassed or uncomfortable talking to him, you may want to find a doctor who specializes in medical marijuana.

MEDICAL MARIJUANA SPECIALISTS Finding a medical marijuana doctor in your area is easy. If you can’t find one through a personal recommendation, just Google “medical marijuana doctor” and your zip code. You will probably find one in your neighborhood. Don’t answer ads related to marijuana on free classified sites like Craigslist. Once you’ve found a doctor, it may expedite the appointment if you: • Bring copies of any medical records you have pertaining to your condition or any prescription drugs you are prescribed to • Be ready to clearly explain your medical condition and the symptoms you need treated with medical marijuana

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• Understand you may not qualify for a recommendation if you do not genuinely need medical marijuana. You don’t have to “convince” the doctor you need it. Just present him with the facts and he will take it from there. • Remember conditions like glaucoma, fibromyalgia, multiple sclerosis, autism, cancer and AIDS require a serious health regimen that your general practitioner will want to be included in. • Prepare a list of questions you have about your condition and ask things like “How do your other patients acquire their marijuana?” and “What have you heard about how medical marijuana helps my condition?”

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Regulated dispensaries benefit the community by: • • • • •

providing access for the most seriously ill and injured offering a safer environment for patients than having to buy on the illicit market improving the health of patients through social support helping patients with other social services, such as food and housing having a greater than average customer satisfaction rating for health care

Creating dispensary regulations combats crime because: • dispensary security reduces crime in the vicinity • street sales tend to decrease • patients and operators are vigilant • any criminal activity gets reported to police Regulated dispensaries are: • legal under California, Arizona, Colorado, and Washington State law, among others • helping revitalize neighborhoods • bringing new customers to neighboring businesses • not a source of community complaints that has meant the creation of patient-run growing collectives that allow those with cultivation expertise to help other patients obtain medicine. In most cases, particularly in urban settings, that has meant the establishment of medical cannabis dispensing collectives, or dispensaries. These dispensaries are typically organized and run by groups of patients and their caregivers in a collective model of patient- directed health care that is becoming a model for the delivery of other health services. While some patients with long-term illnesses or injuries have the time, space, and skill to cultivate their own cannabis, the majority in the state, particularly those in urban settings, do not have the ability to provide for themselves. For those patients, dispensaries are the only option for safe and legal access. This is all the more true for those individuals who are suffering from a sudden, acute injury or illness. Many of the most serious and debilitating injuries and illnesses require immediate relief. A cancer patient, for instance, who has just begun chemotherapy will typically need immediate access for help with nausea, which is why a Harvard study found that 45% of oncologists were already recommending cannabis to their patients, even before it had been made legal in any state. It is unreason- able to exclude those patients most in need simply because they are incapable of gardening or cannot wait months for relief. Some reports have suggested that dispensaries are magnets for criminal activity or other behavior that is a problem for the community, but the experience of those cities with dispensary regulations says otherwise. Crime statistics and the accounts of local officials surveyed by ASA indicate that crime is actually reduced by the presence of a dispensary. And complaints from

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citizens and surrounding businesses are either negligible or are significantly reduced with the implementation of local regulations. The presence of a dispensary in the neighborhood can actually improve public safety and reduce crime. Most dispensaries take security for their members and staff more seriously than many businesses. Security cameras are often used both inside and outside the premises, and security guards are often employed to ensure safety. Both cameras and security guards serve as a general deterrent to criminal activity and other problems on the street. Those likely to engage in such activities will tend to move to a less-monitored area, there- by ensuring a safe environment not only for dispensary members and staff but also for neighbors and businesses in the surrounding area.  One of the concerns of public officials is that dispensaries make possible or even encourage the resale of cannabis on the street. But the experience of those cities which have instituted ordinances is that such problems, which are rare in the first place, quickly disappear. Dispensaries operating with the permission of the city are also more likely to appropriately utilize law enforcement resources themselves, reporting any crimes directly to the appropriate agencies. And, again, dispensary operators and their patient members tend to be more safety conscious than the general public, resulting in great vigilance and better preemptive measures. The reduction in crime in areas with dispensaries has been reported anecdotally by law enforcement in several communities. Like any new business that serves a different customer base than the existing businesses in the area, dispensaries increase the revenue of other businesses in the surrounding area simply because new people are coming to access services, increasing foot traffic past other establishments. In many communities, the opening of a dispensary has helped revitalize an area. While patients tend to opt for dispensaries that are close and convenient, particularly since travel can be difficult, many patients will travel to dispensary locations in parts of town they would not otherwise visit. Even if patients are not immediately utilizing the services or purchasing the goods offered by neighboring businesses, they are more like- ly to eventually patronize those businesses because of convenience. Dispensaries are often called “clubs” in part because many of them offer far more than a clinical setting for obtaining cannabis. Recognizing the isolation that many seriously ill and injured people experience, many dispensary operators chose to offer a wider array of social services, including everything from a place to congregate and socialize to help with finding housing and meals. The social support patients receive in these settings has far- reaching benefits that is also influencing the development of other patient-based care models.

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RESEARCH SUPPORTS THE DISPENSARY MODEL A 2006 study by Amanda Reiman, Ph.D. of the School of Social Welfare at the University of  California, Berkeley examined the experience of 130 patients spread among seven different dispensaries in the San Francisco Bay Area. Dr. Reiman’s study cataloged the patients’ demographic information, health status, consumer satisfaction, and use of services, while also considering the dispensaries’ environment, staff, and services offered. The study found that “medical cannabis patients have created a system of dispensing medical cannabis that also includes services such as counseling, entertainment and support groups, all important components of coping with chronic illness.” She also found that levels of satisfaction with the care received at dispensaries ranked significantly higher than those reported for health care nationally. Patients who use the dispensaries studied uniformly reported being well satisfied with the services they received, giving an 80% satisfaction rating. The most important factors for patients in choosing a medical cannabis dispensary were: feeling comfortable and secure, familiarity with the dispensary, and having a rapport with the staff. In their comments, patients tended to note the helpfulness and kindness of staff and the support found in the presence of other patients. Patients in Dr. Reiman’s study frequently cited their relationships with staff as a positive factor. Comments from six different dispensaries include: “I love this spot because of the love they give, always! They treat everyone like a family loved one!” “This particular establishment is very friendly for the most part and very convenient for me.” “The staff and patients are like family to me!” “The staff are warm and respectful.” “The staff at this facility are always cordial and very friendly. I enjoy coming.” “This is the friendliest dispensary that I have ever been to and the staff is always warm and open. That’s why I keep coming to this place. The selection is always wide.” MANY DISPENSARIES PROVIDE KEY SOCIAL SERVICES Dispensaries offer many cannabis-related services that patients cannot otherwise obtain. Among them is an array of cannabis varieties, some of which are more useful for certain afflictions than others, and staff awareness of what types of cannabis other patients report to be helpful. In other words, one variety of cannabis may be effective for pain control while another may be better for combating nausea. Dispensaries allow for the pooling of information about these differences and the opportunity to access the type of cannabis likely to be most beneficial. “There are legitimate patients in our community, and I’m glad they have a safe means of obtaining their medicine.” -Jane Bender, Santa Rosa Other cannabis-related services include the availability of cannabis products in other forms

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than the smokeable ones. While most patients prefer to have the ability to modulate dosing that smoking easily allows, for others, the effects of edible cannabis products are preferable. Dispensaries typically offer edible products such as brownies or cookies for those purposes. Many dispensaries also offer classes on how to grow your own cannabis, classes on legal matters, trainings for health- care advocacy, and other seminars. Beyond providing safe and legal access to cannabis, the dispensaries studied also offer important social services to patients, including counseling, help with housing and meals, hospice and other care referrals, and, in one case even doggie daycare for members who have doctor appointments or work commitments. Among the broader services the study found in dispensaries are support groups, including groups for women, veterans, and men; creativity and art groups, including groups for writers, quilters, crochet, and crafts; and entertainment options, including bingo, open mike nights, poetry readings, internet access, libraries, and puzzles. Clothing drives and neighborhood parties are among the activities that patients can also participate in through their dispensary. Social services such as counseling and support groups were reported to be the most commonly and regularly used service, with two- thirds of patients reporting that they use social services at dispensaries 1-2 times per week. Also, life services, such as free food and housing help, were used at least once or twice a week by 22% of those surveyed. For those who suffer the most serious illness, such as HIV/AIDS and terminal cancer, these groups of like-minded people with similar conditions can also help patients through the grieving process. Other research into the patient experience has found that many patients have lost or are losing friends and partners to terminal illness. These patients report finding solace with other patients who are also grieving or facing end-of-life decisions. A medical study published in 1998 concluded that the patient-to-patient contact associated with the social club model was the best therapeutic setting for ill people. More importantly, dispensaries benefit the community by providing safe access for those who have the greatest difficulty getting the medicine their doctors recommend: the most seriously ill and injured. Many dispensaries also offer essential services to patients, such as help with food and housing. 

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RULES OF DELIVERY 1. Acquire contact information of each account on your delivery route. This goes beyond the physical address. By having the current name and telephone number of your point of contact, you can directly address the proper source with any questions, concerns or updates. 2. Analyze your itinerary, checking for the most urgent stops. Additionally, look for special notations or instructions specific to any stops. This includes delivery by a certain time or instructions on procedures for delivering to a side entrance, dock or other specific area. 3. Identify the distance standpoint, verifying which stops along the delivery route are closest and progressively further away. This is done while viewing a map of the geographical locations on your route. By performing this task, you "map out" your route. 4. Work in clusters, grouping the stops along your delivery route that are close in proximity to each other. This will minimize unnecessary step retracing. This is cost efficient when it comes to fuel, saving the company money. It also effectively cuts down on delivery time. 5. Factor traffic, construction, fuel stops and inclement weather possibilities into your planning. Attempting to prepare for the unexpected allows for flexibility. By spacing your delivery times to accommodate all stops, leaving a cushion for things beyond your control may result in your being early or on time every time. 6. Deliver to the nearest designations unless there are indications for prompt delivery to a location with a pressing deadline. Target any exceptions first. Move on to the next nearest stops, progressing to the furthest stops until all are complete. 7. Verify the order prior to physically removing the merchandise from your vehicle and delivering it to its final destination. Alert your customers of your anticipated arrival when you are near that stop, if it is customary for that location. Check the order once more with the person accepting the delivery and go to your next scheduled stop.

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EXAMPLE OF A RESUME FOR DELIVERY DRIVER/DISPENSARY AGENT Objective To secure the position of delivery driver in well reputed dispensary. Summary of Qualifications Good knowledge about the vehicle maintenance and repair. Excellent quality performance in delivery operations. Patient driving skills and awareness of the traffic regulations. Possess defensive driving techniques to maintain the safety record. Ability to sense the direction accurately and have good visual memory. Work Experience YYX Driver Recruiters, Big Island, HI Truck Driver/Refrigerated Transport Dec. 2009 – Present Aware of local, state and federal regulations. Participation in pre and post trip inspection. Communicate via 2 way radio. Performed duties as required by the policies and procedures of the company. Followed the maintenance and safety procedures. Oahu Marketing, Oahu, HI Truck Driver Jan. 2009 – Nov. 2009 The main duties included were: To deliver and unload plants, to verify bills, determine the daily routes, to maintain the cargo security. Good customer communication and initiate to resolve their problems. Possess defensive driving techniques to maintain the safety record. To maintain the records, monitor the delivery truck performance, etc. To communicate delivery schedules to the management, resolve the customer issues if any, keep the records of the maintenance of trucks. Education Hawaii Gwinnett College, Honolulu, HI * Trucker’s Degree (June 1999) License * CDL Class A License * IAN Inspection

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EXAMPLES OF DELIVERY ROUTE PLANNING SITES: http://www.gomobileiq.com www.cheetah.com drivingrouteplanner.com myrouteonline.com findthebestroute.com

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Delivery Driver Responsibilities and Duties Drive vehicles to designated destinations for customer product deliveries. Drive safely and deliver products within deadlines. Analyze delivery address, determine appropriate routes and maintain schedule. Report any accidents or injuries to Supervisors immediately. Load and unload products from trucks and trailers. Perform vehicle inspection such as checking fluid level and tire pressure.

Notify supervisors about any major repairs and maintenances. Follow local and state driving laws and road regulations. Maintain the vehicle clean and safe. Collect payments from customer at the time of product delivery Work with support team to provide exceptional customer services and address customer concerns. Perform vehicle inspection before and after each trip Adhere to company operating policies and procedures. Maintain driving log, prepare vehicle performance forms and complete daily paperwork. Provide special care in delivering fragile and hazardous products.

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BYLAWS OF SOCAL COMPASSION

Bylaws (1) The bylaws of this association must contain provisions for the following: (a) the admission of members, their rights and obligations and when they cease to be in good standing; (b) the conditions under which membership ceases and the manner, if any, in which a member may be expelled; (c) the procedure for calling general meetings; (d) the rights of voting at general meetings, whether proxy voting is allowed, and if proxy voting is allowed, provisions for it; (e) the appointment and removal of directors and officers and their duties, powers and remuneration, if any; (f) the exercise of borrowing powers; (g) the preparation and custody of minutes of meetings of the association and its directors. 2. Any changes to the bylaws must be voted upon by the members of the association. Part 2 — Membership 3. The members of the Society are the applicants for incorporation of the Society and those persons who subsequently have become members, in accordance with these bylaws and, in either case, have not ceased to be members. 4. Any person, including a corporation, interested in the objects of the Society, may become a member by (a) applying to and being accepted by the directors for membership in the Society and (b) paying such fees, if any, as may be determined by the directors from time to time. 5. Each member shall uphold the constitution and comply with these by-laws. 6. A person shall cease to be a member of the Society: (1) by delivering a written resignation to the secretary of the Society or by mailing or by delivering it to the address of the Society, or

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(2) on death or in the case of a corporation, on dissolution; or (3) on being expelled; or (4) on having been a member not in good standing for 12 consecutive months. 7. A member who has failed to pay the current annual membership fee or any other subscription or debt due and owing by such member to the Society is not in good standing so long as the fee, subscription or debt remains unpaid. 8. A person failing to maintain their State issued DHS card or having an expired doctor recommendation. 9. The rights of voting, whether proxy or allowed will be determined at the first general meeting. There will be a manager/member of the association at all times who will be determined by vote. The exercise of borrowing powers and the appointment and removal of any directors or officers will also be determined by vote. The preparation and custody of minutes of meetings by the association will be made by an impartial party--preferably a hired, non-member or a member who is an attorney.

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THE SOCAL COMPASSION CONSTITUTION 1. The name of the society is the SOCAL COMPASSION Association. 2. The purposes of the society are: a. To establish a non profit entity to facilitate the transition of the market for cannabis and cannabis products for medical purposes from an illicit one to a licit one, to ensure medicinal cannabis is accessible in a similar manner as other medicinal herbs, in accordance with our vision; b. To ensure the availability of a supply of cannabis and cannabis products for medical purposes only that meets appropriate quality standards regarding unadulteration and sanitation and other requirements; c. To provide a method for member patients to receive and use cannabis for medical purposes only, on written authorization from their physicians; and with a DHS state-issued ID card. d. To educate physicians, patients, politicians and the general public about the beneficial medical uses of cannabis and cannabis products; e. To raise funds and accept donations to encourage and facilitate research into all aspects of medical cannabis use, including, but not limited to, appropriate methods of use of cannabis and cannabis products for medical purposes including quality standards, potency, methods of administration, appropriate dosages, cannabinoid profile-symptom relief correlation, and all other areas of interest to medicinal cannabis using community, excluding the facilitation of production of pharmaceutical products; f. To provide information as a result of these activities to enable the enactment or promulgation of or amendments to laws either Federal or State or Municipal, to legalize the production, distribution, use and possession of cannabis, in accordance with our vision; g. To provide access to and information regarding natural therapies; h. To participate in the approval, control and regulation of distributors and producers of cannabis and cannabis products for medicinal purposes, to ensure cannabis is accessible in a similar manner as other herbs, in accordance with our vision; i. To provide for the lawful possession of cannabis and cannabis products for member patients upon prescription from their doctors and with a state approved DHS card. j. To operate with and to serve as a working model of alternatives and solutions, which includes the utilization of consensus process and consensus decisionmaking as an alternative to heirarchical structures. 3. No member of the society or of the board of directors, in that capacity, shall request or receive from any member of the staff of the society, or in any other way obtain any information which would reveal the identity of the clients of the society.

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4. The purpose of the society shall be carried out without purpose of gain for its members and any profits or other accretions to the society shall be used for promoting its purposes. 5. On the winding up or dissolution of the society, funds or assets remaining after all debts have been paid shall be transferred to a charitable institution. 6. Notwithstanding clause two of this constitution, all purposes shall be organized and operated exclusively on a non-profit basis. 7. No director or officer shall be remunerated for being or acting as a director or officer, but a director or officer may be reimbursed for all expenses necessarily and reasonably incurred by him or her while engaged in the affairs of the society. 8. No part of the income of the society shall be payable or otherwise available for the personal benefit of any proprietor, member, director, officer or shareholder.

9. Paragraphs 3, 4, 5, 6, 7, 8, and 9 of this constitution are unalterable.

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Green Dot Membership Agreement & Registration Form – For Patients --- Please print clearly to avoid errors ---

Date of Registration: __________________

Section A.

Member Information

Name: ___________________________________________________________________________ (last name, first name)

Address _____________________________City ____________________, CA Zip_____________ CA DL or ID No. ____________________ ( ___ [Retain copy for records] ) Date of Birth ________________ Tel. No. ____________________ Fax No. _____________________ Email:____________________ I hereby CONSENT To GREEN DOT sending me notices of membership meetings and elections, and other types of communications such as notice of impending expiration of DHS card of physicianʼs recommendation, via facsimile, email or text message, and I understand that this consent is not required to join the Collective and that otherwise I would be entitled to receive such notices in non-electronic form.

_____________________________ [please sign if consent given]

I learned about GREEN DOT from [source/ referring member]:_______________________________

Section B.

DHS/MMPA Card Information (if applicable)

Complete this section only if you already have a medical cannabis ID card issued by a county health department or other agency pursuant to California Health & Safety Code §11356.7et seq. (SB-420).

ID card issued by State/County ________________________________________________________ Card number ___________________________ Exp. Date ______________ ( ___ [Retain copy for records] )

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Section C.

Physician Written Recommendation Information (Staff Use Only)

Not required because valid DHS/MMPA Card Provided: _______________________________________

[signature of staff member verifying DHS card]]

Recommendation Copied: _________________ Recommendation Expiration Date: ___/___/______ (______ [staff member initials])

Physician Name, City and Tel. No: _____________________________________________________ Physician Identity/Good Standing Verified By: _________________ Date of verification ___________ ___________ (______ [staff member initials])

Recommendation Verified By:______________________________ Date of verification ___________ (______ [staff member initials])

Physician Contact Person Who Provided Verification or Internet/Tel Verification No. _____________________ To our prospective members, we want to take this opportunity to say WELCOME and thank you for considering GREEN DOT as the source of your medical cannabis needs. Although there are many different medical marijuana collectives available to join, we pride ourselves on being a model collective, serving the multiple goals of providing high quality medicine to our members at reasonable prices options through a convenient and professional delivery manner, while at the same time operating in a way intended to maximize the safety and legal security of GREEN DOT and its members. Thus, it is the policy, purpose and intention of GREEN DOT (the “Collective”) to act at all times within the scope of California State law governing medical marijuana, including in particular Prop. 215 (also known as the “Compassionate Use Act” or “CUA”), Senate Bill 420 (also known as the Medical Marijuana Program Act or “MMPA”), and consistent with the California Attorney General Guidelines For The Security And Non-Diversion Of Marijuana Grown For Medical Use (August 2008). The Collective has and will continue to consult with legal counsel to ensure its conduct and the conduct of its members related to the Collective is in compliance with these legal provisions. If you wish to be part of a collective that operates as a model in terms of legal compliance, you have come to the right place. To aid each of you in better understanding the CUA and MMPA, and to help ensure that the medicine cultivated and distributed by the Collective to its members enjoys the fullest protection available under California State law, we ask that each of our you review and agree to the following Rules, Conditions and Representations governing membership in the Collective.

Section D.

Membership Rules – See Attachment A

For the safety and well-being of the Collective, its members and the neighboring community, we ask that your review the attached membership rules which are incorporated by reference in this Membership Agreement and the Bylaws of the Collective. If you have any questions regarding

these rules please consult with a staff-member.

Section E.

Conditions of Membership Approval

1) No person under the age of 21 will be admitted as a member unless accompanied by a parent, guardian or designated caregiver. 2) No person may be admitted as a member unless holding a valid recommendation from a physician in good standing with the State of California entitling such person to use medical marijuana, which recommendation must be confirmed with the physician before any person is allowed to become a member of the Collective. This process may take up to one (1) business day sooner depending on the responsiveness of the physician. Membership remains contingent upon the member maintaining a valid physicianʼs recommendation. 3) Memberʼs consent to each of the terms and conditions set forth in this agreement.

4) The Collective reserves the right to deny membership to any person for any reason whatsoever.

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Section F:

Member pledges to Collective and other Members

1) I am aware that the Collectiveʼs complete Bylaws are available for my review upon request, either prior to or at any time after joining the Collective, that those Bylaws set forth my rights as a member of the Collective, and I have not been denied the request to review the Bylaws. 2) I understand that by joining the Collective I have the right to contribute to and participate in the activities, labors, products and services provided by the Collective, consistent with the limitations set forth in Ca. Health & Safety Code §§ 11362.77 and 11362.775 I also understand that I may limit my involvement to the contribution of funds for medicine and to support the Collective if that is my choice. I also understand that the Collective has the discretion to seek different monetary contributions from members for medicine depending on the specific economic means and circumstances of patients, such as the terminally ill for whom the Collective will seek to provide whatever medicine is necessary notwithstanding that patientʼs economic means. 3) I will provide the Collective with updated recommendation and contact information when applicable. 4) I did not obtain my physicianʼs recommendation by fraud or misrepresentation, and I am not seeking membership for any fraudulent or deceptive purpose. 5) I am a qualified patient under Ca. Health & Safety Code §§ 11362.5 and 11362.7(f), I have been diagnosed with a serious illness for which cannabis provides relief and I have received a recommendation or approval from a licensed California physician to use medical cannabis. As such I am I am legally able to use, possess and cultivate cannabis for medical purposes pursuant to California law. 6) I authorize the Collective to contact my recommending physician to verify his or her recommendation or approval for the use of medical marijuana, and to use and disclose to the physician any medical information contained in said medical recommendation for these purposes of confirmation. 7) I understand the Collective will keep a copy of my physicianʼs recommendation on file and that the Collectiveʼs policy is to not disclose the name or identity of any patient other than in the course of confirmation of the recommendation, and except as required by law. 8) I will not resell any medical marijuana received through the Collective or use it for non-medical purposes and I will take appropriate steps to keep it away from children and other unauthorized persons. 9) I understand that any monies I contribute to the Collective for any medical marijuana or related products are to help the Collective to continue to operate, maintain employees and a location, and to pay the associated costs and expenses of providing its members with medicinal marijuana for their medical needs, including fair and reasonable compensation of Collective employees, independent contractors, officers and directors, and that such transactions will be done consistent with the nonprofit purposes of the Collective. 10) It is my intent in joining this Collective, as a qualified patient, person with a valid identification card and/or primary caregiver (as those terms are defined by Ca. Health and Safety Code §11362.7, to “associate within the State of California in order collectively or cooperatively to cultivate marijuana for medical purposes,” and that as such my conduct related to the Collective and its conduct on my behalf and for my benefit should not be subject to state criminal sanctions under Section 11357, 11358, 11359, 11360, 11366, 11366.5, or 11570” of the Ca. Health and Safety Code. I am engaging in this conduct and participating as a member in the Collective based on the good faith belief and expectation that neither I nor the Collective are violating California law. 11) I understand that the MMPA and the recent case of People v. Kelly decided by the Supreme Court of California, codified as Ca. Health & Safety Code § 11362.77, currently limits qualified patients who have DHS cards and their caregivers to possess and grow up to eight (8) ounces of dried marijuana bud or equivalent, and six (6) mature or twelve (12) immature plants, unless the patient has a doctorʼs recommendation stating that this quantity does not meet the patientʼs medical needs in which case the patient is authorized by law to possess and cultivate an amount of marijuana consistent with the patientʼs needs. To the extent I have a doctorʼs recommendation that exempts me from the Ca. Health & Safety Code § 11362.77(a) limits I will bring that to the attention of the Collective. Pursuant to People v. Kelly and the Compassionate Use Act, all other qualified patients without DHS cards are entitled to possess and cultivate the amount of marijuana reasonably necessary for their personal medical needs, which the Collective will consider to be the baseline limits set forth in Ca. Health & Safety Code § 11362.77 unless the patient member states otherwise. 12) I understand that the Collective may maintain records of my transactions to help demonstrate compliance with the CUA and MMPA, including Ca. Health & Safety Code §§ 11362.77 and 11362.775, which records will be kept in such a way as to maintain the privacy of the member, and the Collective will take all legal and steps necessary to keep such records confidential, subject to the need of the Collective to use such records to defend itself and establish that the conduct of the Collective and its members did not violate the law (although even in those circumstances the Collective will seek to protect the identity of its members to the extent possible and permitted by law). 13) I give permission to and authorize the Collective to cultivate, obtain, transport and possess cannabis on my behalf, and to distribute such medical marijuana to myself and other Collective members, and I hereby assign to the Collective exclusively my right to cultivate medical marijuana for my personal use for as long as I maintain my membership with the Collective, to the fullest extent permitted by Ca. Health & Safety Code §§ 11362.77 and 11362.775. I understand that it is necessary that I assign these rights to the Collective so that I, the Collective and its members can operate and maintain full compliance with the letter and spirit of these legal provisions and, in particular, the collective/cooperative defense afforded by the Medical Marijuana Program Act. 14) I agree that I will not discuss with non-members and will seek to maintain the confidentiality of my transactions with and involvement in the Collective, and the identity of other members associated with the Collective, except to the extent disclosure of such information is required by law. 15) I agree to waive any claims I may have in the future and hold harmless the Collective and its members, officers, directors, and agents relating to (i) any side effects, outcomes, or personal injuries I may sustain, or any damage I may cause to another person or any property as a result of any medical cannabis or related products I obtain through the Collective, including any harm I cause to myself or another person while operating a motor vehicle under the influence of medical marijuana, and/or (ii) any claims relating to the strength, potency, purity, appropriateness for my condition of any marijuana and related products I may obtain at the Collective. In this regard, I 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 know by him must have materially affected his settlement with the debtor." 16) I understand that the possession, cultivation and sale of marijuana is illegal under FEDERAL LAW notwithstanding the protections afforded to me as a qualified patient and to the Collective under California State law. I will not hold the Collective or its members responsible to the extent I am the subject of any federal law enforcement action for my own conduct. I have read and understand the Collectiveʼs rules and conditions as reflected in this Membership Agreement and I agree to abide by those terms of membership. I further affirm that the information I provided herein is true and accurate to the best of my knowledge, and I agree to indemnify the Collective and its members for any legal fees and costs arising from any false statements and misrepresentations I made herein.

X___________________________________________ Signature

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`

_______________

Date

Member Proxy (Optional) I understand that as a member of this Collective I have the right to vote on certain matters relating to the Collective and that

it is important for the functioning and well being of the Collective that members exercise their voting rights to ensure quorum requirements are met. Because I do not wish to exercise my voting rights, or may not be able to attend member meetings,

I hereby appoint_____________________________________ [designate any other member, including directors or officers] as my proxy to attend the meetings of the members of the Collective on all dates and times, and to represent, vote, execute,

consent, waive and otherwise act for the undersigned in the same manner and with the same effect as if the undersigned were personally present at said meeting. This proxy shall be for a term of 3 years unless revoked by me sooner.

X___________________________________________ Signature

`

_______________

Date

ATTACHMENT A TO MEMBERSHIP AGREEMENT GREEN DOT Membership Rules 1.

All medical marijuana distributed by the Collective must be cultivated by a member of the Collective (except in certain limited circumstances as set forth in the Bylaws) 2. No medical marijuana shall be provided to or distributed to non-members of the Collective. 3. No person shall receive any medical marijuana from the Collective until they are approved as members. 4. No person under the age of 21 may be a member of the Collective unless accompanied by a parent at the time when they seek to become a member or they are in an obvious state of exigency. 5. Membership shall be terminated it is discovered after admission of membership that a member is no longer in compliance with any condition for membership, such as the validity of a physician recommendation, or that a member obtained a physicianʼs recommendation or membership in the Collective under false pretenses or based on false information. 6. The re-sale or diversion of any medical marijuana obtained from the Collective is prohibited. 7. Solicitation of any business from any other member, including the purchase or sale of marijuana to or from another member, is prohibited. 8. The carrying of any firearms or weapon on collective premises is prohibited. 9. Violating any laws relating to possession, cultivation, possession for sale, transportation and/or sale of marijuana, in violation of Ca. Health & Safety Code §§ 11357, 11358, 11359 and 11360 is prohibited. 10. Undertaking any action or conduct that endangers the legal defenses and immunities enjoyed by the Collective or any other Collective members under the Compassionate Use Act or the Medical Marijuana Program Act (Ca.Health & Safety Code § 11362.5 et seq.) is prohibited. 11. Harassment of Collective personnel or anyone in the vicinity of the Collective is prohibited.

GREEN DOT ASSOCIATION 4821 LANKERSHIM BLVD., SUITE F-370, NORTH HOLLYWOOD CA 91601 818.515.7600 • [email protected]

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GREEN DOT MISSION STATEMENT: SPECIALIZING IN HOMEBOUND PATIENTS AND THE ELDERLY GREEN DOT is a non-profit Association specializing in providing medicinal cannabis services to Members who require in-home care. Our staff members are trained and are STATE REGISTERED health care providers. Because our members are home bound due to illness or other reasons, and must rely on cannabis for medicinal use, Green Dot strives to bring our members the highest quality of medicinal cannabis. Because Green Dot members cultivate medicine exclusively for Green Dot members, the Association is able to provide medicinal cannabis directly at compassionate and affordable prices. Using member feedback, Green Dot continues to develop information that helps to provide the medicine that has the best therapeutic benefit for a specific illness or symptom like nausea. Green Dot provides safe access and uses GreenLife for patient data to insure the highest level of data base security. GreenLife is the same patient data base used by California physicians for their medical records. Safe Use Orientation is offered to patients who may not be familiar with strain selection, dosages and methods of ingestion. The California State Board of Equalization has determined that medicinal cannabis is subject to sales tax. All medicinal products that are not dispensed through a licensed pharmacy are subject to sales tax. The Green Dot Sales Tax Permit # is HOW TO BECOME A GREEN DOT MEMBER Membership is available to qualified patients who reside in the county of Los Angeles. To become a member, a California ID and a current Physician’s letter of approval for the use of cannabis is required. Green Dot verifies the physician’s approval letter before providing services to members. You must also obtain a DHS state approved ID card. For the protection of our members, Green Dot supports the California Department of Health ID Card Program for Medical Cannabis Patients and Primary Caregivers. This DHS Card offers the medical cannabis patient the optimum protection due to the SB 420 mandate that CA law enforcement must honor the DHS ID Card as verification of the patient’s protections under Proposition 215. For information regarding the CA DHS ID Card Program visit: http://ww2.cdph.ca.gov/programs/mmp/Pages/default.aspx HOURS OF OPERATION Green Dot’s Delivery Services are provided between 10 am and 12 pm Monday – Sunday Delivery is limited to the following areas: Los Angeles County Medicine is delivered the day after the order is in place unless requested otherwise. Emergency deliveries can be arranged.

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Legal Section “You and the Law”

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MEDICAL MARIJUANA: “YOU AND THE LAW” 1. Intersection of the Federal and State medical marijuana laws

a. Federalism and Supremacy of Federal law



b. The Controlled Substances Act and Marijuana



c. Federal Initiatives Relative to Medical Marijuana Enforcement



d. Obama Administration and Department of Justice Policy

2. Colorado laws Applicable to Medical Marijuana

a. Colorado Health and Safety law



c. Formation and Operational Considerations

b. Legal Trends Regarding Medical Marijuana

3. Local Law Issues

a. Importance of local law



b. Zoning and land use



c. Litigation challenging local bans

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231

Medical Marijuana Registry

LW

4300 Cherry Creek Drive South, Denver, CO 80246-1530  303-692-2184 E-mail: [email protected]  Website: www.cdphe.state.co.us/hs/medicalmarijuana

Caregiver’s Patient Limit Waiver

Patients may petition the Registry for permission to increase the number of people their caregiver can serve. The patient and caregiver must be able to clearly explain how granting an extension to the caregiver will benefit the patient’s health, safety and welfare. The caregiver must be providing services beyond growing and/or transporting medical marijuana for the patient. Instructions: 1.

2. 3. 4. 5. 6. 7. 8. 9.

Do not submit this form by itself. It must be submitted by the patient with either a patient application packet (MMR1001 or MMR1002) or a Change of Patient Records form (MMR1003). Complete this form if your caregiver is currently serving five (5) or more patients. Complete all sections of the form neatly and accurately. There are no fees to file this form. Do not write-over, cross-out, or use white-out on this form, or it will be voided. If you make a mistake on the form, please complete a new one. Submit the application to the Registry within ten (10) days of the date you have it notarized. If approved, the term of the waiver will be one year. If the caregiver’s caseload drops to five (5) or fewer patients, the waiver is terminated. After completion, the patient and caregiver must both sign and date it in front of a notary to have it notarized. Include a copy of the patient’s and caregiver’s valid photo IDs. The chart below lists the documents the Registry accepts as proof of identity.

PROOF OF IDENTITY The Registry requires a verifiable, photo ID for all forms. Please submit one of the following IDs with your form:  Colorado Driver’s License  Out-of-state Driver’s License  Colorado photo ID  Out-of-state photo ID  Temporary Colorado Driver’s License  U.S. Passport  Temporary Colorado ID  Military ID (copy of front and back)  Tribal ID i. All documents must be currently valid when received at the Registry. ii. Damaged, expired, or tampered IDs are not valid. iii. The address on the photo ID does not have to match the mailing address on the form. iv. All IDs must be verifiable and have specific issue and expiration dates. v. The ID must show the patient’s date of birth. 10. Patient social security numbers are used to confirm identity and protect confidentiality. 11. Incomplete forms will be rejected. A form is considered complete when: a. The form is completed, signed and notarized. b. A copy of the patient’s photo ID is included. c. A copy of the caregiver’s ID is included, if the form has caregiver information. 12. Forms must be sent separately, one form per envelope. 13. Make a copy of all your paperwork for your files. 14. Unless a fee is required, DO NOT send money to the Registry. All monies received at the Registry are nonrefundable. 15. Submit paperwork by mail or deliver to the Registry’s drop-box. The Registry does not accept forms by fax or e-mail. Mail to: Drop-Box: Colorado Dept. of Public Health & Environment 710 S. Ash Street, South East Entrance Customer Service Unit CDPHE Open: Monday-Friday, 7:00 a.m. to 6:00 p.m. HSV-8608 The drop box is on the wall inside the first set of glass doors. Your 4300 Cherry Creek Drive South paperwork must be in a sealed envelope. You will not receive a Denver, CO 80246-1530 receipt. If you wish to have a receipt, please mail in your paperwork by certified mail. For more information, visit our website www.cdphe.state.co.us/hs/medicalmarijuana or call 303-692-2184. MMR1009 – Caregiver Limit Waiver – Revised September 2012

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Page 1 of 3

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Medical Marijuana Registry

LW

4300 Cherry Creek Drive South, Denver, CO 80246-1530  303-692-2184 E-mail: [email protected]  Website: www.cdphe.state.co.us/hs/medicalmarijuana

Caregiver’s Patient Limit Waiver

STAFF ONLY Review Committee Approval  Yes  No

See instructions on page 1. Photo ID required with all forms.

1. Social Security Number (optional)

Section A: Patient Information

The name on the form must match the legal name on your photo ID. 2. Last Name

3. First Name

5a. Mailing Address State 7. Zip Code CO 11. E-mail Address (optional)*

4. Middle Initial

5b. Apartment/Suite # 8. County

9. Date of Birth

6. City 10. Telephone Number 12. Gender Male Female

* By providing your e-mail address, you agree to receive communication from the Registry by e-mail.

Section B: Caregiver Information A copy of the caregiver’s photo ID is required. The name on the form must match the legal name on the caregiver’s ID. 13. Caregiver’s Last Name (as on ID) Corrections:

14. Caregiver’s First Name (as on ID)

16. Caregiver’s Mailing Address 17. City

15. Middle Initial

16a. Apartment/Suite # 18. State

19. Zip Code

20. Date of Birth

21. Telephone Number

Section C: Medical Marijuana Center Information 22: Is there a Medical Marijuana Center within five (5) miles of the patient’s address? If yes, complete the following information.

Yes

No

23. Name of Medical Marijuana Center

24. Mailing Address of the Medical Marijuana Center 25. City

24a. Apartment/Suite # State CO

26. Zip Code

27. Telephone Number

28. How will granting this waiver benefit the patient’s health, safety and welfare?

29. What services, beyond providing medical marijuana, does the patient require for the caregiver?

MMR1009 – Caregiver Limit Waiver – Revised September 2012

Page 2 of 3

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Caregiver’s Patient Limit Waiver Patient’s Name: ___________________________________ Patient’s Social Security Number:

30. Patient’s Signature: Please check () the box below, to consent to requested changes.

STAFF ONLY

 By signing below, I request that the above-mentioned caregiver be granted permission to serve more than five patients. If the caregiver is granted a waiver, I request this caregiver be listed as my primary caregiver.

Review Committee Approval  Yes  No

I hereby certify that the above information is correct and complete.

31. Patient’s Signature:

32. Date Signed: (mm/dd/yyyy)

The signature and proof of identity of the above individual was subscribed and sworn to before me by _____________________________________________ in _____________________ County, (Name of patient printed by notary)

(County name)

Colorado on this ________ day of _____________, 20____. (Day)

(Month)

___________________________________ Corrections:

(Notary’s official signature)

___________________________________ (Commission expiration date)

AFFIX NOTARY SEAL

33. Caregiver’s Signature: Please check () the box below, to consent to the requested changes.  I believe increasing the number of patients I can serve will benefit the patient’s health, safety and welfare. By signing below, I consent to assuming significant responsibility for managing the patient’s well-being.

I hereby certify that the above information is correct and complete.

34.Caregiver’s Signature:

35. Date Signed: (mm/dd/yyyy)

The signature and proof of identity of the above individual was subscribed and sworn to before me by _____________________________________________ in _____________________ County, (Name of caregiver printed by notary)

(County name)

Colorado on this ________ day of _____________, 20____. (Day)

(Month)

___________________________________ (Notary’s official signature)

___________________________________ (Commission expiration date)

MMR1009 – Caregiver Limit Waiver – Revised September 2012

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AFFIX NOTARY SEAL

Page 3 of 3

Medical Marijuana Registry

234

VC

4300 Cherry Creek Drive South, Denver, CO 80246-1530  303-692-2184 E-mail: [email protected]  Website: www.cdphe.state.co.us/hs/medicalmarijuana

Voluntary Caregiver Registration

The Voluntary Caregivers Registry provides patients with contact information for primary caregivers in their area. By law, a primary caregiver is a person other than the patient and the patient’s physician, who is 18 years of age or older and has significant responsibility for managing the well-being of a patient with a debilitating medical condition. By completing this form, you are allowing the Registry to release your contact information to physicians and prospective patients. All other information in your records remains confidential. Information is released in accordance with Colorado Board of Health rules.

Instructions: 1. 2. 3.

4. 5. 6.

Complete all required sections of the form neatly and accurately. There are no fees to file this form. Do not write-over, cross-out, or use white-out on this form, or it will be voided. If you make a mistake on the form, please complete a new one. Make a copy of this form for your files. Submit paperwork with a copy of your current photo ID. Submit paperwork by mail or deliver to the Registry’s drop-box within 10 days of your signature. The Registry does not accept forms by fax or e-mail.

Mail to:

Drop-Box: Colorado Dept. of Public Health & Environment 710 S. Ash Street, South East Entrance Open: Monday-Friday, 7:00 a.m. to 6:00 p.m. The drop box is on the wall inside the first set of glass doors. Your paperwork must be in a sealed envelope. You will not receive a receipt. If you wish to have a receipt, please mail in your paperwork by certified mail.

Customer Service Unit CDPHE HSV-8608 4300 Cherry Creek Drive South Denver, CO 80246-1530 STAFF ONLY CSU

Caregiver Information A copy of the caregiver’s photo ID is required. The name on the form must match the legal name on the ID. 1. Caregiver’s Last Name (as on ID)

2. Caregiver’s First Name (as on ID)

4. Caregiver’s Mailing Address 5. City Corrections:

3. Middle Initial

4a. 6. State

7. Zip Code

8. Date of Birth

9. Telephone Number

10. E-mail Address (optional)*

* By providing your e-mail address, you agree to receive communication from the Registry by e-mail.

I hereby certify that all information provided is correct and complete.

11. Caregiver’s Signature:

12. Date Signed: (mm/dd/yyyy)

The signature and proof of identity of the above individual was subscribed and sworn to before me by _____________________________________________ in _____________________ County, Colorado (Name of caregiver printed by notary)

(County name)

on this ________ day of _____________, 20____. (Day)

(Month)

___________________________________ (Notary’s official signature)

___________________________________ (Commission expiration date)

MMR1006 – Caregiver Registry Form – Revised September 2012

AFFIX NOTARY SEAL

Page 1 of 1

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Colorado Department of Revenue   Medical Marijuana Enforcement Division (MMED)   Medical Marijuana Caregiver Cultivation Location Registration Form  Mail to: 455 Sherman Street, Suite 390  Denver, CO  80203  In accordance with C.R.S. §25‐1.5‐106(7)(e), a Caregiver who cultivates Medical Marijuana for his or her  patients must register the location of that cultivation operation with the MMED.  This information will  be kept confidential and only provided to local government or a law enforcement agency upon receipt  of an “address‐specific request for verification.”    Please provide the requested information below:   Patient MMR Number (Red  Physical Location of Cultivation  Recommended  Card) ‐ do not provide any  Number of  additional patient information  plants                                                    If the Colorado Department of Public Health and Environment Medical Marijuana Registry has given the  Caregiver an exception to serve more than five (5) patients pursuant to C.R.S. § 25‐1.5‐106(8)(a), please  provide the above information for each patient  you serve on an additional sheet of paper.     Please update your MMED Cultivation registration should the location of your cultivation change.   Printed Name   of Caregiver______________________________________________      Date: ________________    Signature of Caregiver______________________________________________________________ 

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4300 Cherry Creek Drive South, Denver, CO 80246-1530  303-692-2184 E-mail: [email protected]  Website: www.cdphe.state.co.us/hs/medicalmarijuana

RC

Removal from Voluntary Caregiver Registry

The Voluntary Caregivers Registry provides new patients with contact information for primary caregivers in their area. Current and prospective primary caregivers may choose to have their contact information listed in the database. By completing this form, you are requesting to have your contact information removed from the Voluntary Caregiver Registry list. Your contact information will be re-designated confidential. No other changes will be made to your caregiver status with the Registry. Instructions: 1. Complete all required sections of the form neatly and accurately. 2. There are no fees to file this form. 3. Do not write-over, cross-out, or use white-out on this form, or it will be voided. If you make a mistake on the form, please complete a new one. 4. Make a copy of this form for your files. 5. Send a copy of your current photo ID. 6. Submit paperwork by mail or deliver to the Registry’s drop-box within 10 days of your signature. The Registry does not accept forms by fax or e-mail. Mail to:

Drop-Box: Colorado Dept. of Public Health & Environment 710 S. Ash Street, South East Entrance Open: Monday-Friday, 7:00 a.m. to 6:00 p.m. The drop box is on the wall inside the first set of glass doors. Your paperwork must be in a sealed envelope. You will not receive a receipt. If you wish to have a receipt, please mail in your paperwork by certified mail.

Customer Service Unit CDPHE HSV-8608 4300 Cherry Creek Drive South Denver, CO 80246-1530 STAFF ONLY

_________ Evaluation & Data Entry

Caregiver Information

A copy of the caregiver’s photo ID is required. The name on the form must match the legal name on the caregiver’s ID. 1. Caregiver’s Last Name

2. Caregiver’s First Name

4. Caregiver’s Mailing Address 5. City

Corrections:

3. Middle Initial

4a. Apartment/Suite # 6. State

7. Zip Code

8. Date of Birth

9. Telephone Number

10. E-mail Address (optional)*

* By providing your e-mail address, you agree to receive communication from the Registry by e-mail.

I hereby certify that all information provided is correct and complete.

11. Caregiver’s Signature:

12. Date Signed: (mm/dd/yyyy)

The signature and proof of identity of the above individual was subscribed and sworn to before me by _____________________________________________ in _____________________ County, Colorado (Name of caregiver printed by notary)

(County name)

on this ________ day of _____________, 20____. (Day)

(Month)

___________________________________ (Notary’s official signature)

___________________________________ (Commission expiration date)

MMR1008 – Removal from Caregiver Registry – Revised September 2012

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4300 Cherry Creek Drive South, Denver, CO 80246-1530  303-692-2184 E-mail: [email protected]  Website: www.cdphe.state.co.us/hs/medicalmarijuana

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AP

Application Instructions

Colorado Medical Marijuana Registration Cards are available only for Colorado residents being treated for an active, debilitating medical condition. To apply for a registration card, please complete an application packet as described below. If you make a mistake, please complete a new form. Do not write over, white-out or cross-out information. This will void the form. A complete application packet includes: 1. An Application for Registration Card completed by you, signed and notarized. 2. A Physician Certification completed by your doctor. 3. A copy of your Colorado ID. If you do not have a Colorado ID, submit proof of identity and Colorado residency. 4. A copy of your caregiver’s valid ID, if a caregiver is selected. 5. A form of payment or a Request for Fee Waiver/Tax Exempt Status form and supporting materials. 1. Medical Marijuana Registry Application a. Please complete the entire application. Write or type clearly and neatly. b. Patient Social Security Numbers: Social security numbers are required for application submission. The Registry uses a patient’s social security number as a unique number for tracking records over a period of time. Article XVIII, 14(3)(b)(II) of the Colorado Constitution states: “In order to be placed on the state’s confidential registry for the medical use of marijuana, a patient must … submit the completed application form adopted by the state health agency, including the following information … (II) The name, address, date of birth, and social security number of the patient …” VISA/ITIN numbers are not accepted as a replacement for social security numbers. c. Mark your application as ‘NEW’ if you have never had a card with the Registry. If you have had a card, regardless of the year, mark your application as ‘RENEWAL.’ d. Renewal applications cannot be received more than 60 days prior to the expiration date on your current card. Please submit renewals between 45 to 60 days before your card expires to allow time for processing. e. Ensure the mailing address is complete including apartment or lot number. Mail returned to the Registry by the post office is retained for 90 days then shredded. f. You may select to have a caregiver or a Medical Marijuana Center. It is not required to have either. If incomplete information is provided for the caregiver or Medical Marijuana Center, the provider will not be printed on your card. g. If you are under the age of 18 or homebound, you may choose both a caregiver and a Medical Marijuana Center. h. Sign and date this form in front of a notary. The date of your signature and the notary’s signature must be the same. i. The form cannot be notarized by the patient, the caregiver, the physician or the person who signs the payment. 2. Physician Certification a. Your physician must complete, sign, and date the Physician Certification. b. The signing physician must be an MD or DO with an active Colorado medical license. Physicians with conditions or restrictions on their licenses, or out-of-state licenses, are not accepted. c. Send in your application packet within 60 days of the physician’s signature on the Physician Certification. Application packets with Physician Certifications more than 60 days old are rejected. d. The Registry cannot accept paperwork on security paper that reads “VOID” when copied. 3. Proof of Identity and Residency (see page 2 for Proof of Identity and Colorado Residency requirements) a. Medical Marijuana Registration cards are available only to Colorado residents. You must provide proof of your identity and residency. Damaged, expired or tampered IDs are not valid. b. The name on your application must match the name on your ID. If you have had a change of name since you last submitted paperwork to the Registry, provide a copy of the certified document proving name change (such as marriage license, divorce decree, or legal name change documents). c. If you select a caregiver, include a copy of the caregiver’s photo ID with the application packet. d. To ensure your ID is readable, please enlarge it on a copier at 150% to 200% and lighten it slightly. 4. Application packets must be sent separately. Only one application packet and check/money order per envelope. If sending by certified mail, certify each envelope separately. 5. Please allow 4 to 6 weeks from the date the Registry receives your paperwork for application processing. If you have not received a response within 6 weeks, please contact the Registry at 303-692-2184. Your paperwork or card will be mailed to the address on your application. Cards are not valid outside of Colorado, thus the Registry does not mail cards outside of the state. 6. After submitting your application, DO NOT send in any additional paperwork to the Registry unless requested. Any nonrequested, additional paperwork will be considered a duplicate and returned. Any duplicate fees submitted are nonrefundable.

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Application Instructions PROOF OF IDENTITY AND COLORADO RESIDENCY One (1) of the following:  Colorado driver’s license  Colorado photo ID  Temporary Colorado driver’s license (photo not required)  Temporary Colorado ID (photo not required)

OR

Proof of residency is not required if submitting a Colorado-issued ID. i. ii. iii. iv. v. vi. vii. viii. ix. x.

7.

Two (2) of the following: Minimum of one (1) photo ID from the group below  Out-of-state driver’s license or photo ID  U.S. Passport  U.S. Military ID (copy of front and back)  Tribal ID And a minimum of one (1) proof of residency from the group below  Proof of Colorado employment (paycheck stub/W-2/certified Colorado tax return)  Copy of an entire government-issued benefit letter (PERA, SSI, Disability, etc.)  Copy of a Colorado-issued certification (such as nursing, electrician, etc.) Copy of a utility bill. All addresses on the bill must be in Colorado. 

All documents must be currently valid when received at the Registry. Damaged, expired, or tampered IDs are not valid. The address on the photo ID does not have to match the mailing address on the application. All IDs must be verifiable and have specific issue and expiration dates. The ID must show the patient’s date of birth. Proof of residency materials must be dated within 60 days of the date the Registry receives them, unless otherwise noted. As proof of Colorado employment, the W-2 or certified Colorado tax return must be for the most recent tax year. Bills from telephone, electricity, water, trash, cable, or internet providers are considered valid and verifiable utility bills. Copies of bills must be complete, including the pay coupon. Bills must include organization name, logo and contact information. All government benefit letters must include the issuing agency’s logo and contact information; the patient’s name and address; and an account or case number. Examples of acceptable benefit letters include PERA, Medicaid/Medicare, Food Stamps/Food Assistance, TANF, and Social Security. Certification documents must include the patient’s Colorado address, be issued by a Colorado state agency and be dated within the last year.

Non-refundable $35 application fee or Request for Fee Waiver/Tax Exempt Status form: The following application fee and fee waiver processes are effective for applications received January 1, 2012 or later. a. To pay $35 application fee: Make check or money order payable to CDPHE. We do not accept temporary checks. Do not send cash. Please write the patient’s name on the payment. Make sure the form of payment is signed. The notary cannot sign the form of payment. The date of payment must be less than one (1) year old when received at the Registry. All monies received by the Registry are nonrefundable. b. To request a fee waiver: You must submit a Request for Fee Waiver/Tax Exempt Status form (#MMR1010) with your application packet. You may qualify for a fee waiver if your household income is at 185% of the Federal Poverty Level or less. The chart below indicates the annual household incomes, adjusted for family size, that qualify for a fee waiver.

Household incomes at 185% of 2012 Federal Poverty Guidelines* Source: Federal Register, Vol. 77, No. 17, January 26, 2012, pp. 4034-4035 # in Family 1 2 3 4 5 6 7 8 Each additional

$ $ $ $ $ $ $ $ $

Annual Income 20,664.50 27,990.50 35,316.50 42,642.50 49,968.50 57,294.50 64,620.50 71,946.50 7,067.00

* Poverty guidelines are updated periodically in the Federal Register by the U.S. Department of Health and Human Services under the authority of 42 U.S.C. 9902(2) 8. Submit all items by mail or deliver to the Registry’s drop-box. The Registry does not accept forms by fax or e-mail. Mail To: Drop-Box: Colorado Dept. of Public Health & Environment 710 S. Ash Street, Southeast Entrance Application Processing CDPHE Open: Monday-Friday, 7:00 a.m. to 6:00 p.m. HSV-8608 The drop box is on the wall inside the first set of glass doors. Your paperwork 4300 Cherry Creek Drive South must be in a sealed envelope. You will not receive a receipt. If you wish to have Denver, CO 80246-1530 a receipt, please mail in your paperwork by certified mail.

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Application Instructions Application Packet Checklist:             

The Application is complete and accurate. The Application was signed and dated by you and a notary. The dates of your signature and the notary’s signature match. The Physician Certification is complete and accurate. The date of the Physician’s signature is current. Mail your application packet as soon as possible after your physician signs the Physician Certification. There are no areas on any of the forms where information has been written over, crossed out or white-out was used. You have included a clear copy of your valid Colorado ID. If you do not have a Colorado ID, you have included a clear copy of your ID and proof of residency. If included, all copies of utility or cable bills show both the “mail to” address and the “service” address. Both addresses must be in Colorado. You have made copies of all the documents you are sending to the Registry. You have included a form of payment or the Request for Fee Waiver/Tax-Exempt Status form, including a certified copy of your Colorado tax return. Submit your application packet for yourself. Do not allow anyone else to submit the paperwork for you. Send your application packet by certified mail to have proof of submission. Keep the mail receipt.

Questions can be sent by e-mail to [email protected] or by phone at 303-692-2184. Application Review Process: 1. Initial Review: The Registry reviews all applications against criteria described in the Application Instructions. The nonrefundable application fee, if included in the application packet, is deposited. 2. Approved Application: If an application packet is complete and has all supporting materials, a card is mailed to the patient. 3. Rejected Application: If an application packet is inaccurate or incomplete, the Registry processes the payment and keeps the submitted paperwork. A rejection letter detailing corrections needed is sent to the patient. With each rejection, patients are given 60 days to make corrections without paying additional application fees. Patients are given two (2) opportunities to submit corrections to the Registry. 4. Approved Corrections: When corrections are submitted to the Registry, they are reviewed for accuracy and completeness. If the application packet is complete after corrections, a card is mailed to the patient. 5. Corrections Beyond 60-Days: Patients who do not submit corrections within the 60-day window must submit a new application packet including a new physician certification and an additional $35 application fee. 6. Denial: The application is denied after the patient has submitted inaccurate or incomplete paperwork three times (the original application plus two correction attempts). The patient will have to wait six (6) months before re-applying for a Medical Marijuana Registration card, if the application is denied. 7. Appeals: If an application is denied, or the Registry suspends or revokes the patient’s current registration card, a notice will be sent to the patient with details regarding the reason for denial, suspension or revocation. If the patient disagrees with a final decision from the Registry, the patient may send a letter to the Registry requesting an appeals hearing. The request for a hearing must be received by the Registry within thirty (30) calendar days from the date of the postmark on the notice. For more information, please visit: www.cdphe.state.co.us/hs/medicalmarijuana or call 303-692-2184. The Registry is not affiliated with any privately operated club, organization, or dispensary.

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Medical Marijuana Registry

AP

4300 Cherry Creek Drive South, Denver, CO 80246-1530  303-692-2184 E-mail: [email protected]  Website: www.cdphe.state.co.us/hs/medicalmarijuana

STAFF ONLY ____________ Evaluated

____________ Data Entry 1

Application for Registration Card

See instructions on page 1. Photo ID required with all forms.

New: I have never had a Colorado Registry card. Renewal: I have been on the Colorado Registry before. 1. Social Security Number Section A: Patient Information (Required)

The name on the form must match the legal name on your photo ID.

2. Last Name

3. First Name

5a. Mailing Address ____________ Data Verified

State CO

4. Middle Initial

5b. Apartment/Suite #

7. Zip Code

8. County

9. Date of Birth

11. E-mail Address (optional)*

6. City 10. Telephone Number 12. Gender Male Female

* By providing your e-mail address, you agree to receive communication from the Registry by e-mail. Section B: Caregiver (Optional)

A copy of the caregiver’s photo ID is required. The name on the form must match the legal name on the caregiver’s ID. Only homebound patients, or patients under age 18, may list both a caregiver and a Medical Marijuana Center. 13. Caregiver Last Name 14. Caregiver First Name 15. Middle Initial 16. Caregiver’s Mailing Address 17. City

16a. Apartment/Suite # 18. State

19. Zip Code

20. Date of Birth

21. Telephone Number

Section C: Medical Marijuana Center (Optional) ___________ Finance

____________ Data Entry 2

____________ Card Printed Corrections:

Only homebound patients, or patients under age 18, may list both a caregiver and a Medical Marijuana Center. 22. Medical Marijuana Center Name

23. Medical Marijuana Center Mailing Address

23a. Apartment/Suite #

24. City

State CO

27. Fax Number

28. E-mail Address (optional)*

29. Patient’s Signature:

25. Zip Code

26. Telephone Number

I hereby certify that the above information is correct and complete. 30. Date Signed: (mm/dd/yyyy)

The signature and proof of identity of the above individual was subscribed and sworn to before me by _____________________________________________ in _______________________ County, Colorado on this (Name of patient printed by notary) (County name) _________day of _____________, 20____. (Day)

(Month)

___________________________________ (Notary’s official signature)

___________________________________ (Commission expiration date)

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Physician Certification Instructions 1. Complete the entire form, sign and date. 2. If you make a mistake on this form, please complete a new form. Do not write over, white-out or cross-out information. This will void the form. 3. Please keep a copy of the form in the patient’s medical record. To avoid fraud, the Registry verifies all physician signatures. You will receive a verification letter for patients in the months the Registry receives Physician Certifications with your signature. 4. Auto defaults: o

o

If question #7 is incomplete, the auto-default response is “no.” If question #21 is incomplete, the auto-default response is “standard amount.”

5. Please do not fax or e-mail the form to the Registry. The patient must submit the Physician Certification along with his or her complete Medical Marijuana Registry application packet. 6. This does not constitute a prescription for marijuana. 7. To sign the form, you must be an MD or DO with an active Colorado medical license. Physicians with conditions or restrictions on their licenses, or out-of-state licenses, are not accepted. 8. A copy of your current DEA certification must be on file with the Registry. If you have not already provided this, please fax a copy to 303-758-5182. If your DEA is not on file when we receive your patient’s paperwork, it will be rejected. 9. The Registry cannot accept paperwork on security paper that reads “VOID” when copied. 10. Encourage patients to submit their application packets as soon as possible after you sign the Physician Certification. The Registry rejects Physician Certifications that are more than 60 days old. 11. The Registry has included in the application packet, for your review, “Regulation 8: Physician requirements; reasonable cause for referrals of physicians to the Colorado Medical Board; reasonable cause for department adverse action concerning physicians; appeal rights.” For a link to the complete Board of Health rules, please visit our website www.cdphe.state.co.us/hs/medicalmarijuana. 12. You may contact the Registry at [email protected] or (303) 692-2184, if you have any questions.

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Medical Marijuana Registry

PC

4300 Cherry Creek Drive South, Denver, CO 80246-1530  303-692-2184 E-mail: [email protected]  Website: www.cdphe.state.co.us/hs/medicalmarijuana

Physician Certification

STAFF ONLY ___________ Evaluated

See instructions on page 1. Photo ID required with all forms.

Patient Information

1. Last Name (as on ID)

2. First Name (as on ID)

4. Date of Birth

5. What is the date of physical examination for the purpose of the medical marijuana recommendation? (mm/dd/yyyy) 6. Are you available to provide follow-up care for this patient? 7. In your opinion, is this patient homebound?

Corrections:

3. Middle Initial

8. License Number DR -

9. Last Name

Yes

Yes

No

No

Physician Information

10. First Name

11. Middle Initial

12. Mailing Address 13. City 16. Telephone Number

14. State 17. Fax Number

15. Zip Code

18. E-mail Address (optional)

19. DEA Certification: The Registry requires a copy of your current DEA certification for their files. If you have not already provided this, FAX a copy to 303-758-5182 to prevent delays in processing this application.

Physician’s Statement

20. The above-named patient has been diagnosed with and is currently undergoing treatment for the following chronic, debilitating medical condition. a. Cancer b. Glaucoma c. HIV or AIDS positive or The patient has a chronic or debilitating disease or medical condition that produces one or more of the following and which, in the physician’s professional opinion, may be alleviated by the medical use of marijuana. d. Cachexia e. Severe nausea f. Seizures g. Persistent muscle spasms h. Severe pain (The etiology is required by law whenever severe pain is selected.) Etiology: or Etiology unknown. 21. Please indicate the number of plants and ounces of marijuana you recommend for this patient. Standard Amount: 6 plants/2 ounces Increased Amount: plants/ ounces 22. Comments: (If no comments, the Registry recommends crossing through this area to prevent comments after your

signature.)

I hereby certify that I am a physician duly licensed in good standing to practice medicine in Colorado, and that I have a bona fide physician-patient relationship with the above-named patient. I have assessed this patient’s medical history and current medical condition. I conclude that this patient may benefit from the medical use of marijuana. This assessment is not a prescription for the use of marijuana.

23. Physician’s Signature:

MMR1001 – Adult Application – Revised September 2012

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Board of Health Rules: Regulation 8 Regulation 8: Physician requirements; reasonable cause for referrals of physicians to the Colorado Medical Board; reasonable cause for department adverse action concerning physicians; appeal rights A. Physician requirements. A physician who certifies a debilitating medical condition for an applicant to the medical marijuana program shall comply with all of the following requirements: 1. Colorado license to practice medicine. The physician shall have a valid, unrestricted Colorado license to practice medicine, which license is in good standing. a.

For the purposes of certifying a debilitating medical condition of an applicant and recommending the use of medical marijuana for the medical marijuana program, "in good standing" means: i.

The physician holds a doctor of medicine or doctor of osteopathic medicine degree from an accredited medical school;

ii.

The physician holds a valid license to practice medicine in Colorado that is not restricted or conditioned, unless the physician has received written confirmation from the Colorado medical board that the physician’s scope of practice does not preclude recommending medical marijuana; and

iii. The physician has a valid and unrestricted United States Department of Justice federal drug enforcement administration controlled substances registration. 2. Bona fide physician patient relationship. A physician who meets the requirements in subsection A.1 of this Regulation 8 and who has a bona fide physician-patient relationship with a particular patient may certify to the state health agency that the patient has a debilitating medical condition and that the patient may benefit from the use of medical marijuana. If the physician certifies that the patient would benefit from the use of medical marijuana based on a chronic or debilitating disease or medical condition, the physician shall specify the chronic or debilitating disease or medical condition and, if known, the cause or source of the chronic or debilitating disease or medical condition. a. "Bona fide physician-patient relationship", for purposes of the medical marijuana program, means: i.

A physician and a patient have a treatment or counseling relationship, in the course of which the physician has completed a full assessment of the patient's medical history and current medical condition, including an appropriate personal physical examination;

ii.

The physician has consulted with the patient with respect to the patient's debilitating medical condition before the patient applies for a registry identification card; and

iii. The physician is available to or offers to provide follow-up care and treatment to the patient, including but not limited to patient examinations, to determine the efficacy of the use of medical marijuana as a treatment of the patient's debilitating medical condition. b.

A physician making medical marijuana recommendations shall comply with generally accepted standards of medical practice, the provisions of the medical practice act, § 12-36-101 et seq. , C.R.S, and all Colorado Medical Board rules.

c.

The "appropriate personal physical examination" required by paragraph A.2.a.i of this Regulation 8 may not be performed by remote means, including telemedicine.

3. Medical records. The physician shall maintain a record-keeping system for all patients for whom the physician has recommended the medical use of marijuana. Pursuant to an investigation initiated by the Colorado medical board, the physician shall produce such medical records to the Colorado Medical Board after redacting any patient or primary caregiver identifying information. 4. Financial prohibitions. A physician shall not: a.

Accept, solicit, or offer any form of pecuniary remuneration from or to a primary caregiver, distributor, or any other provider of medical marijuana;

b.

Offer a discount or any other thing of value to a patient who uses or agrees to use a particular primary caregiver, distributor, or other provider of medical marijuana to procure medical marijuana;

c.

Examine a patient for purposes of diagnosing a debilitating medical condition at a location where medical marijuana is sold or distributed; or

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Board of Health Rules: Regulation 8 d.

Hold an economic interest in an enterprise that provides or distributes medical marijuana if the physician certifies the debilitating medical condition of a patient for participation in the medical marijuana program.

B. Reasonable cause for referral of a physician to the Colorado Medical Board. For reasonable cause, the department may refer a physician who has certified a debilitating medical condition of an applicant to the medical marijuana registry to the Colorado Medical Board for potential violations of sub-paragraphs 1, 2, and 3 of paragraph A of this rule. C. Reasonable cause for department sanctions concerning physicians. For reasonable cause, the department may sanction a physician who certifies a debilitating medical condition for an applicant to the medical marijuana registry for violations of paragraph A.4 of this rule. Reasonable cause shall include, but not be limited to: 1.

The physician is housed onsite and/or conducts patient evaluations for purposes of the medical marijuana program at a location where medical marijuana is sold or distributed, such as a medical marijuana center, optional grow site, medically infused products manufacturer, by a primary caregiver, or other distributor of medical marijuana.

2.

A physician who holds an economic interest in an entity that provides or distributes medical marijuana, such as a medical marijuana center, an infused products manufacturer, an optional grow site, a primary caregiver, or other distributor of medical marijuana.

3.

The physician accepts, offers or solicits any form of pecuniary remuneration from or to a primary caregiver, medical marijuana center, optional grow site, medically infused product manufacturer, or any other distributor of medical marijuana.

4.

The physician offers a discount or any other thing of value, including but not limited to a coupon for reduced-price medical marijuana or a reduced fee for physician services, to a patient who agrees to use a particular medical marijuana center, primary caregiver, or other distributor of medical marijuana.

D. Sanctions. For reasonable cause, the department may propose any of the following sanctions against a physician: 1.

Revocation of the physician’s ability to certify a debilitating medical condition and recommend medical marijuana for an applicant to the medical marijuana registry; or

2.

Summary suspension of the physician’s ability to certify a debilitating medical condition or recommend medical marijuana for an applicant to the medical marijuana registry when the department reasonably and objectively believes that a physician has deliberately and willfully violated section 14 of article xviii of the state constitution or § 25-1.5-106, C.R.S. and the public health, safety and welfare imperatively requires emergency action.

E. Appeals. If the department proposes to sanction a physician pursuant to paragraph c of this rule, the department shall provide the physician with notice of the grounds for the sanction and shall inform the physician of the physician’s right to request a hearing. 1.

A request for hearing shall be submitted to the department in writing within thirty (30) calendar days from the date of the postmark on the notice.

2.

If a hearing is requested, the physician shall file an answer within thirty (30) calendar days from the date of the postmark on the notice.

3.

If a request for a hearing is made, the hearing shall be conducted in accordance with the state administrative procedures act, § 24-4-101 et seq. , C.R.S.

4.

If the physician does not request a hearing in writing within thirty (30) calendar days from the date of the notice, the physician is deemed to have waived the opportunity for a hearing.

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245

MA

Medical Marijuana Registry Card Application for Patients Under 18 Years of Age Application Instructions Colorado Medical Marijuana Registration Cards are available only for Colorado residents being treated for an active, debilitating medical condition. To apply for a registration card, please complete an application packet as described below. If you make a mistake, please complete a new form. Do not write over, white-out or cross-out information. This will void the form.

A complete application packet for patients under 18 years of age includes: 1. 2. 3. 4. 5. 6. 7. 1.

2.

3.

An Application for Registration Card completed by you, signed and notarized. A Parental Consent Form completed by all parents or legal guardians living in Colorado. If a parent/legal guardian does not reside in Colorado, proof of identity and out-of-state residency must be provided. Two Physician Certifications completed by two separate doctors. A copy of the patient’s certified birth certificate or a certified legal guardianship order. A copy of the patient’s valid Colorado ID. A copy of both parents/guardians’ valid Colorado IDs. If the Primary Parent/Caregiver does not have a Colorado ID, that parent must submit proof of identity and residency. A form of payment or a Request for Fee Waiver/Tax Exempt Status form and supporting materials.

Application for Registration Card a. Please complete the entire application. Write or type clearly and neatly. b. Patient Social Security Numbers: Social security numbers are required for application submission. The Registry uses a patient’s social security number as a unique number for tracking records over a period of time. Article XVIII, 14(3)(b)(II) of the Colorado Constitution states: “In order to be placed on the state’s confidential registry for the medical use of marijuana, a patient must … submit the completed application form adopted by the state health agency, including the following information … (II) The name, address, date of birth, and social security number of the patient …” VISA/ITIN numbers are not accepted as a replacement for social security numbers. c. Mark your application as ‘NEW’ if you have never had a card with the Registry. If you have ever had a card, regardless the year, mark your application as ‘RENEWAL.’ d. Ensure the mailing address is complete including apartment or lot number. Mail returned to the Registry by the post office is retained for 90 days, then shredded. e. You may select a Medical Marijuana Center. It is not required to have one. The Primary Parent/Guardian must be listed as the Primary Caregiver. f. If you are under the age of 18 or homebound, you may choose both a caregiver and a Medical Marijuana Center. g. You must sign and date this form in front of a notary. The date of your signature and the notary’s signature must be the same. h. The form cannot be notarized by the patient, the caregiver, the physician or the person who signs the payment. Parental Consent Form a. One parent or legal guardian must be listed as the “Primary Parent/Guardian.” The Primary Parent/Guardian is listed on the patient’s card as the Primary Caregiver. The Primary Parent/Guardian must be a Colorado resident. b. All parents or legal guardians living in Colorado must complete the Parental Consent form. c. All parents or legal guardians living in Colorado must sign and date this form in front of a Colorado notary. The date of parent/guardian signatures and the notary’s signature must be the same. d. The form cannot be notarized by the patient, the caregiver, the physician or the person who signs the payment. e. Parents who do not live in Colorado must submit proof of identity and out-of-state residency. Physician Certification a. Patients under 18 years of age are required to have two Physician Certifications completed by two separate doctors. b. The signing physician must be an MD or DO with an active Colorado medical license. Physicians with conditions or restrictions on their licenses, or out-of-state licenses, are not accepted. c. Send in your application packet as soon as possible after the physician signs the Physician Certification. The Registry must receive your complete, correct application packet within 60 days of the physician’s signature. Application packets with Physician Certifications more than 60 days old are rejected. d. The Registry cannot accept paperwork on security paper that reads “VOID” when copied.

____________________________________________________________________________________________________ MMR1002 – Minor Application – Revised September 2012 Page 1 of 8

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Application Instructions 4. 5.

Proof of Parental/Guardian Relationship a. Include a copy of the patient’s certified birth certificate or certified legal guardianship order. The certificate is used to prove relationship between parents(s)/legal guardians(s) and the patient. Proof of Identity and Residency a. Medical Marijuana Registration cards are available only to Colorado residents. The patient and all parents living in Colorado must provide proof of identity and residency. b. Include a copy of the primary parent/caregiver’s photo ID with the application packet.

PROOF OF IDENTITY AND COLORADO RESIDENCY One [1) of the following: Two [2) of the following: Minimum of one (1) photo ID from the group below  Colorado driver’s license  Out-of-state driver’s license or photo ID  Colorado photo ID U.S. passport  Temporary Colorado driver’s license OR  (photo not required)  U.S. Military ID (copy of front and back)  Temporary Colorado ID  Tribal ID (photo not required) And a minimum of one (1) proof of residency from the group below  Proof of Colorado employment (paycheck stub/W-2/certified Colorado tax return) Proof of residency is not required if  Copy of an entire government-issued benefit letter (PERA, SSI, Disability, etc.) submitting a Colorado-issued ID.  Copy of a Colorado-issued certification (such as nursing, electrician, etc.) Copy of a utility bill. All addresses on the bill must be in Colorado. 

i. ii. iii. iv. v. vi. vii. viii. ix. x.

6.

All documents must be currently valid when received at the Registry. Damaged, expired, or tampered IDs are not valid. The address on the photo ID does not have to match the mailing address on the application. All IDs must be verifiable and have specific issue and expiration dates. The ID must show the patient’s date of birth. Proof of residency materials must be dated within 60 days of the date the Registry receives them, unless otherwise noted. As proof of Colorado employment, the W-2 or certified Colorado tax return must be for the most recent tax year. Bills from telephone, electricity, water, trash, cable, or internet providers are considered valid and verifiable utility bills. Copies of bills must be complete, including the pay coupon. Bills must include organization name, logo and contact information. All government benefit letters must include the issuing agency’s logo and contact information; the patient’s name and address; and an account or case number. Examples of acceptable benefit letters include PERA, Medicaid/Medicare, Food Stamps/Food Assistance, TANF, and Social Security. Certification documents must include the patient’s Colorado address, be issued by a Colorado state agency and be dated within the last year.

Non-refundable $35 application fee or Request for Fee Waiver: The following application fee and fee waiver processes are effective for applications received January 1, 2012 or later. a. To pay $35 application fee: Make check or money order payable to CDPHE. We do not accept temporary checks. Do not send cash. Please write the patient’s name on the payment. Make sure the form of payment is signed. The notary cannot sign the form of payment. The date of payment must be less than one (1) year old when received at the Registry. All monies received by the Registry is nonrefundable. b. To request fee waiver: You must submit a Fee Waiver Request (form #MMR1010) with your application packet. You may qualify for a fee waiver if your household income is at 185% of the Federal Poverty Level or less. The chart below indicates the annual household incomes, adjusted for family size, that qualify for a fee waiver.

Household incomes at 185% of 2012 Federal Poverty Guidelines* Source: Federal Register, Vol. 77, No. 17, January 26, 2012, pp. 4034-4035 # in Family 1 2 3 4 5 6 7 8 Each additional 7. 8.

$ $ $ $ $ $ $ $ $

Annual Income 20,664.50 27,990.50 35,316.50 42,642.50 49,968.50 57,294.50 64,620.50 71,946.50 7,067.00

* Poverty guidelines are updated periodically in the Federal Register by the U.S. Department of Health and Human Services under the authority of 42 U.S.C. 9902(2)

Application packets must be sent separately. Only one application packet and check/money order per envelope. If sending by certified mail, certify each envelope separately. Please allow 4 to 6 weeks from the date the Registry receives your paperwork for application processing. If you have not received a response within 6 weeks, please contact the Registry at 303-692-2184.

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Application Instructions 9.

Submit all items by mail or deliver to the Registry’s drop-box. The Registry does not accept forms by fax or e-mail.

Mail To: Application Processing Colorado Dept. of Public Health & Environment HSV-8608 4300 Cherry Creek Drive South Denver, CO 80246-1530

Drop-Box: Colorado Dept. of Public Health & Environment 710 S. Ash Street, Southeast Entrance Open: Monday-Friday, 7:00 a.m. to 6:00 p.m. The drop box is on the wall inside the first set of glass doors. Your paperwork must be in a sealed envelope. You will not receive a receipt. If you wish to have a receipt, please mail in your paperwork by certified mail.

Application Packet Checklist:  The Application is complete and accurate.  The Application was signed and dated by you and a Colorado notary.  The Parental Consent form is complete, accurate and notarized.  The dates of your signature and the notary’s signature match.  The two Physician Certifications are complete and accurate.  The Physicians signature dates are current, within 60 days. Mail your application packet as soon as possible after your physician signs the Physician Certification.  There are no areas on any of the forms where information has been written over, crossed out or white-out was used.  You have included a clear, readable copy of your valid Colorado ID.  You have included a clear, readable copy of the Primary Parent/Guardian’s Colorado ID.  If you or your Primary Parent/Guardian do not have a Colorado ID, included a copy of the out-of-state ID and proof of residency.  If included, all copies of utility or cable bills show both the “mail to” address and the “service” address. Both addresses are in Colorado.  You have included a copy of your certified birth certificate or certified guardianship orders.  You have made copies of all the documents you are sending to the Registry.  You have included a form of payment or the Request for Fee Waiver/Tax-Exempt Status form, including a certified copy of your Colorado tax return.  Submit your application packet for yourself. Do not allow anyone else to submit the paperwork for you.  Send your application packet by certified mail to have proof of submission. Keep the mail receipt.

Application Review Process: 1.

2. 3.

4. 5. 6. 7.

Initial Review: The Registry reviews all applications against criteria described in the Application Instructions. The nonrefundable application fee, if included in the application packet, is deposited. Approved Application: If an application packet is complete and has all supporting materials, a card is mailed to the patient. Rejected Application: If an application packet is inaccurate or incomplete, the Registry processes the payment and keeps the submitted paperwork. A rejection letter detailing corrections needed is sent to the patient. With each rejection, patients are given 60 days to make corrections without paying additional application fees. Patients are given two (2) opportunities to submit corrections to the Registry. Approved Corrections: When corrections are submitted to the Registry, they are reviewed for accuracy and completeness. If the application packet is complete after corrections, a card is mailed to the patient. Corrections Beyond 60-Days: Patients who do not submit corrections within the 60-day window must submit a new application packet including a new physician certification and an additional $35 application fee. Denial: The application is denied after the patient has submitted inaccurate or incomplete paperwork three times (the original application plus two correction attempts). The patient will have to wait six (6) months before re-applying for a Medical Marijuana Registration card, if the application is denied. Appeals: If an application is denied, or the Registry suspends or revokes the patient’s current registration card, a notice will be sent to the patient with details regarding the reason for denial, suspension or revocation. If the patient disagrees with a final decision from the Registry, the patient may send a letter to the Registry requesting an appeals hearing. The request for a hearing must be received by the Registry within thirty (30) calendar days from the date of the postmark on the notice. For more information, please visit: www.cdphe.state.co.us/hs/medicalmarijuana or call 303-692-2184. The Registry is not affiliated with any privately operated club, organization, or dispensary.

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Medical Marijuana Registry

248

MC

4300 Cherry Creek Drive South, Denver, CO 80246-1530  303-692-2184 E-mail: [email protected]  Website: www.cdphe.state.co.us/hs/medicalmarijuana

Parental Consent Form STAFF ONLY ___________ Evaluated

See instructions on page 1. Photo ID required with all forms. Section A: Patient (Photo ID and certified birth certificate -certificate of legal guardianship required.) 1. Last Name (as it appears on ID)

2. First Name (as it appears on ID)

Section B: Primary Parent-Guardian – Primary parent is listed as the caregiver on Registry card. (Photo ID required.) 4. Last Name (as it appears on ID)

5. First Name (as it appears on ID)

7. Mailing Address Corrections:

3. Middle Initial

6. Middle Initial

7a. Apartment/Suite #

8. City

9. State

10. Zip Code

11. Date of Birth

12. Telephone Number

Section C: Second Parent (Photo ID required. ) 13. Last Name (as it appears on ID)

14. First Name (as it appears on ID)

16. Mailing Address

15. Middle Initial

16a. Apartment/Suite #

17. City

18. State

19. Zip Code

20. Date of Birth

21. Telephone Number

I hereby certify that the above information is correct and complete.

22. Primary Parent’s Signature:

23. Date Signed: (mm/dd/yyyy)

The signature and proof of identity of the above individual was subscribed and sworn to before me by _____________________________________________ in _____________________ County, (Name of parent printed by notary)

(County name)

Colorado on this ________ day of _____________, 20____. (Day)

(Month)

___________________________________ (Notary’s official signature)

___________________________________ (Commission expiration date)

AFFIX NOTARY SEAL

I hereby certify that the above information is correct and complete.

24. Second Parent’s Signature:

25. Date Signed: (mm/dd/yyyy)

The signature and proof of identity of the above individual was subscribed and sworn to before me by _____________________________________________ in _____________________ County, (Name of parent printed by notary)

(County name)

Colorado on this ________ day of _____________, 20____. (Day)

(Month)

___________________________________ (Notary’s official signature)

___________________________________ (Commission expiration date)

AFFIX NOTARY SEAL

____________________________________________________________________________________________________ MMR1002 – Minor Application – Revised September 2012 Page 4 of 8

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Medical Marijuana Registry

MA

4300 Cherry Creek Drive South, Denver, CO 80246-1530  303-692-2184 E-mail: [email protected]  Website: www.cdphe.state.co.us/hs/medicalmarijuana

STAFF ONLY ____________ Evaluated

Application for Registration Card for Patients Under 18

New: This is the first time I have applied in Colorado. Renewal: I have been on the Colorado Registry before. Section A: Patient Information (Required)

1. Social Security Number

The name on the form must match the legal name on your photo ID.

2. Last Name ____________ Data Entry 1

____________ Data Verified

3. First Name

5a. Mailing Address State CO

4. Middle Initial

5b. Apartment/Suite #

7. Zip Code

8. County

9. Date of Birth

11. E-mail Address (optional)*

6. City 10. Telephone Number 12. Gender Male Female

* By providing your e-mail address, you agree to receive communication from the Registry by e-mail.

Section B: Caregiver (Required. The Primary Parent/Guardian is the caregiver)

A copy of the caregiver’s photo ID is required. The name on the form must match the legal name on the caregiver’s ID. Only homebound patients, or patients under age 18, may list both a caregiver and a Medical Marijuana Center. 13. Caregiver Last Name 14. Caregiver First Name 15. Middle Initial 16. Caregiver’s Mailing Address 17. City

16a. Apartment/Suite # 18. State

19. Zip Code

20. Date of Birth

21. Telephone Number

Section C: Medical Marijuana Center (Optional)

Only homebound patients, or patients under age 18, may list both a caregiver and a Medical Marijuana Center. ___________ Finance

22. Medical Marijuana Center Name

23. Medical Marijuana Center Mailing Address ____________ Data Entry 2

24. City

State CO

27. Fax Number

28. E-mail Address (optional)*

____________ Card Printed Corrections:

23a. Apartment/Suite #

29. Patient’s Signature:

25. Zip Code

26. Telephone Number

I hereby certify that the above information is correct and complete. 30. Date Signed: (mm/dd/yyyy)

The signature and proof of identity of the above individual was subscribed and sworn to before me by _____________________________________________ in _______________________ County, Colorado on this (Name of patient printed by notary) (County name) _________day of _____________, 20____. (Day)

(Month)

___________________________________ (Notary’s official signature)

___________________________________ (Commission expiration date)

AFFIX NOTARY SEAL

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Physician Certification Instructions 1. Complete the entire form, sign and date. 2. If you make a mistake on this form, please complete a new form. Do not write over, white-out or cross-out information. This will void the form. 3. Please keep a copy of the form in the patient’s medical record. To avoid fraud, the Registry verifies all physician signatures. You will receive a verification letter for patients in the months the Registry receives Physician Certifications with your signature. 4. Auto defaults: o

o

If Question #7 is incomplete, the auto-default response is “no.” If question #21 is incomplete, the auto-default responses is “standard amount.”

5. Please do not fax or e-mail the form to the Registry. The patient must submit the Physician Certification along with his or her complete Medical Marijuana Registry application packet. 6. This does not constitute a prescription for marijuana. 7. To sign the form, you must be an MD or DO with an active Colorado medical license. Physicians with conditions or restrictions on their licenses, or out-of-state licenses, are not accepted. 8. A copy of your current DEA certification must be on file with the Registry. If you have not already provided this, please fax a copy to 303-758-5182. If your DEA is not on file when we receive your patient’s paperwork, it will be rejected. 9. The Registry cannot accept paperwork on security paper that reads “VOID” when copied. 10. Encourage patients to submit their application packets as soon as possible after you sign the Physician Certification. The Registry rejects Physician Certifications that are more than 60 days old. 11. The Registry has included in the application packet, for your review, “Regulation 8: Physician requirements; reasonable cause for referrals of physicians to the Colorado Medical Board; reasonable cause for department adverse action concerning physicians; appeal rights.” For a link to the complete Board of Health rules, please visit our website www.cdphe.state.co.us/hs/medicalmarijuana. 12. You may contact the Registry at [email protected] or (303) 692-2184, if you have any questions.

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Medical Marijuana Registry

P1

4300 Cherry Creek Drive South, Denver, CO 80246-1530  303-692-2184 E-mail: [email protected]  Website: www.cdphe.state.co.us/hs/medicalmarijuana

Physician Certification #1 (for patients under age 18) See instructions on page 1. Photo ID required with all forms.

STAFF ONLY

Patient Information

1. Last Name ___________ Evaluated

2. First Name

4. Date of Birth

5. What is the date of physical examination for the purpose of the medical marijuana recommendation? (mm/dd/yyyy) 6. Are you available to provide follow-up care for this patient? 7. In your opinion, is this patient homebound?

Corrections:

3. Middle Initial

8. License Number DR -

9. Last Name

Yes

Yes

No

No

Physician Information

10. First Name

11. Middle Initial

12. Mailing Address 13. City 16. Telephone Number

14. State 17. Fax Number

15. Zip Code

18. E-mail Address (optional)

19. DEA Certification: The Registry requires a copy of your current DEA certification for their files. If you have not already provided this, FAX a copy to 303-758-5182 to prevent delays in processing this application.

Physician’s Statement

20. The above-named patient has been diagnosed with and is currently undergoing treatment for the following chronic, debilitating medical condition. a. Cancer b. Glaucoma c. HIV or AIDS positive or The patient has a chronic or debilitating disease or medical condition that produces one or more of the following and which, in the physician’s professional opinion, may be alleviated by the medical use of marijuana. d. Cachexia e. Severe nausea f. Seizures g. Persistent muscle spasms h. Severe pain (The etiology is required by law whenever severe pain is selected.) Etiology: or Etiology unknown. 21. Please indicate the number of plants and ounces of marijuana you recommend for this patient. Standard Amount: 6 plants/2 ounces Increased Amount: __________ plants/_________ ounces 22. Comments: (If no comments, the Registry recommends crossing through this area to prevent comments after your

signature.)

I hereby certify that I am a physician duly licensed in good standing to practice medicine in Colorado, and that I have a bona fide physician-patient relationship with the above-named patient. I have assessed this patient’s medical history and current medical condition. I conclude that this patient may benefit from the medical use of marijuana. This assessment is not a prescription for the use of marijuana.

23. Physician’s Signature:

24. Date Signed: (mm/dd/yyyy)

____________________________________________________________________________________________________ MMR1002 – Minor Application – Revised September 2012 Page 7 of 8

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Medical Marijuana Registry

P2

4300 Cherry Creek Drive South, Denver, CO 80246-1530  303-692-2184 E-mail: [email protected]  Website: www.cdphe.state.co.us/hs/medicalmarijuana

Physician Certification #2 (for patients under age 18) STAFF ONLY ___________ Evaluated

Patient Information

1. Last Name

2. First Name

4. Date of Birth

5. What is the date of physical examination for the purpose of the medical marijuana recommendation? (mm/dd/yyyy) 6. Are you available to provide follow-up care for this patient? 7. In your opinion, is this patient homebound?

Corrections:

3. Middle Initial

10. License Number DR -

11. Last Name

Yes

Yes

No

No

Physician Information

12. First Name

13. Middle Initial

14. Mailing Address 15. City 18. Telephone Number

16. State 19. Fax Number

17. Zip Code

20. E-mail Address (optional)

21. DEA Certification: The Registry requires a copy of your current DEA certification for their files. If you have not already provided this, FAX a copy to 303-758-5182 to prevent delays in processing this application.

Physician’s Statement

22. The above-named patient has been diagnosed with and is currently undergoing treatment for the following chronic, debilitating medical condition. a. Cancer b. Glaucoma c. HIV or AIDS positive or The patient has a chronic or debilitating disease or medical condition that produces one or more of the following and which, in the physician’s professional opinion, may be alleviated by the medical use of marijuana. d. Cachexia e. Severe nausea f. Seizures g. Persistent muscle spasms h. Severe pain (The etiology is required by law whenever severe pain is selected.) Etiology: or Etiology unknown. 23. Please indicate the number of plants and ounces of marijuana you recommend for this patient. Standard Amount: 6 plants/2 ounces Increased Amount: __________ plants/_________ ounces 24. Comments: (If no comments, the Registry recommends crossing through this area to prevent comments after your signature.)

I hereby certify that I am a physician duly licensed in good standing to practice medicine in Colorado, and that I have a bona fide physician-patient relationship with the above-named patient. I have assessed this patient’s medical history and current medical condition. I conclude that this patient may benefit from the medical use of marijuana. This assessment is not a prescription for the use of marijuana.

25. Physician’s Signature:

26. Date Signed: (mm/dd/yyyy)

____________________________________________________________________________________________________ MMR1002 – Minor Application – Revised September 2012 Page 8 of 8

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Medical Marijuana Registry

253

CR

4300 Cherry Creek Drive South, Denver, CO 80246-1530  303-692-2184 E-mail: [email protected]  Website: www.cdphe.state.co.us/hs/medicalmarijuana

Instructions:

Change of Patient Records

1. Complete all required sections of the form neatly and accurately. 2. There are no fees to file this form. 3. Do not write-over, cross-out, or use white-out on this form, or it will be voided. If you make a mistake on the form, please complete a new one. 4. After completing the form, you must sign and date it in front of a notary and have it notarized. 5. Include a copy of your valid Colorado ID. The chart below lists the documents the Registry accepts: PROOF OF IDENTITY The Registry requires a verifiable, photo ID for all forms. Please submit one of the following IDs with your form:  Colorado Driver’s License  Out-of-state Driver’s License  Colorado photo ID  Out-of-state photo ID  Temporary Colorado Driver’s License  U.S. Passport  Temporary Colorado ID  Military ID (copy of front and back) Tribal ID  i. ii. iii. iv. v.

All documents must be currently valid when received at the Registry. Damaged, expired, or tampered IDs are not valid. The address on the photo ID does not have to match the mailing address on the form. All IDs must be verifiable and have specific issue and expiration dates. The ID must show the patient’s date of birth.

6. 7. 8.

You may only change your caregiver or medical marijuana center one time per month. Patient social security numbers are used to confirm identity and protect confidentiality. Incomplete forms will be voided and returned to you. A form is considered complete when: a. The form is completed, signed and notarized. b. A copy of the patient’s photo ID. c. A copy of the caregiver’s ID is included, if the form has caregiver information. Forms must be sent separately, one form per envelope. Make a copy of all your paperwork for your files. Unless a fee is required, DO NOT send money to the Registry. All monies received at the Registry are nonrefundable. You must submit paperwork within ten (10) days of the date you have it notarized. The Registry does not print new cards for changes of address, medical marijuana center or caregiver (unless the patient is homebound or under the age of 18). Please allow 4 to 6 weeks from the date the Registry receives your paperwork for processing. If you have not received a response within 6 weeks, please contact the Registry at 303-692-2184. Your paperwork or card will be mailed to the address on your paperwork. Cards are not valid outside of Colorado, thus the Registry does not mail cards outside of the state. Submit paperwork by mail or deliver to the Registry’s drop-box. The Registry does not accept forms by fax or e-mail.

9. 10. 11. 12. 13. 14.

15.

Mail to: Change Request Colorado Dept. of Public Health & Environment HSV-8608 4300 Cherry Creek Drive South Denver, CO 80246-1530

Drop-Box: Colorado Dept. of Public Health & Environment 710 S. Ash Street, South East Entrance Open: Monday-Friday, 7:00 a.m. to 6:00 p.m. The drop box is on the wall inside the first set of glass doors. Your paperwork must be in a sealed envelope. You will not receive a receipt. If you wish to have a receipt, please mail in your paperwork by certified mail.

For more information, visit our website www.cdphe.state.co.us/hs/medicalmarijuana or call 303-692-2184.

MMR1003 – Change Form – Revised September 2012

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Page 1 of 2

Medical Marijuana Registry

254

CR

4300 Cherry Creek Drive South, Denver, CO 80246-1530  303-692-2184 E-mail: [email protected]  Website: www.cdphe.state.co.us/hs/medicalmarijuana

Change of Patient Records

STAFF ONLY

See instructions on page 1. Photo ID required with all forms. Section A: Patient Information (Required)

1. Social Security Number (optional) ____________ Evaluated

____________ Data Entry

The name on the form must match the legal name on your photo ID. 3. First Name 4. Middle Initial

2. Last Name 5a. Mailing Address State 7. Zip Code CO 11. E-mail Address (optional)*

5b. Apartment/Suite # 8. County

9. Date of Birth

6. City 10. Telephone Number 12. Gender Male Female

* By providing your e-mail address, you agree to receive communication from the Registry by e-mail

Change Request: Please mark all changes that apply. For each option selected, complete all blanks. ____________ Card Printed

13. Change my contact information. The above address and contact information is new. 14. Change my name. I have enclosed a copy of the certified, official document that proves my name change. Old Name New Name

Corrections:

a. Last Name

b. First Name

c. Middle Initial

d. Last Name

e. First Name

f. Middle Initial

g. I have included a copy of the following certified document to prove my name change: Support Marriage Certificate Divorce Decree Other court documents Documentation 15. Caregiver as “Self.” Please remove the medical marijuana center and/or caregiver from my records. 16. Change my Medical Marijuana Center (MMC). Only homebound patients, or patients under age 18, may list both a caregiver and a medical marijuana center. Medical Marijuana Center Information

a. Name of Medical Marijuana Center

b. Mailing Address of the Medical Marijuana Center d. City

e. State

c. Apartment/Suite # f. Zip Code

g. Telephone Number

CO 17. Change of caregiver. Please change my caregiver to the individual listed below. I have enclosed a copy of the caregiver’s valid ID. The name on this form must match the name on the ID. Only homebound patients, or patients under age 18, may list both a caregiver and a medical marijuana center. a. Caregiver’s Last Name

Caregiver Information

b. Caregiver’s First Name

c. Middle Initial

d. Caregiver’s Mailing Address f. City

e. Apartment/Suite # g. State

h. Zip Code

i. Date of Birth

j. Telephone Number

I hereby certify that the above information is correct and complete. 18. Applicant’s Signature: 19. Date Signed: (mm/dd/yyyy)

The signature and proof of identity of the above individual was subscribed and sworn to before me by _____________________________________________ in _____________________ County, Colorado (Name of applicant printed by notary)

(County name)

on this ________ day of _____________, 20____. (Day)

(Month)

______________________________________ (Notary’s official signature)

___________________________________ (Commission expiration date)

MMR1003 – Change Form – Revised September 2012

AFFIX NOTARY SEAL

Page 2 of 2

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Medical Marijuana Registry

4300 Cherry Creek Drive South, Denver, CO 80246-1530  303-692-2184 E-mail: [email protected]  Website: www.cdphe.state.co.us/hs/medicalmarijuana

Instructions: 1.

2. 3. 4. 5. 6. 7. 8. 9.

255

LS

Report of Lost, Stolen or Damaged Registry Card

Do not use this form to check on your Registry Card application status. Call the Registry at 303-692-2184 if you applied more than 35 days ago and have not received anything from us. You must submit paperwork within ten (10) days of the date you have it notarized. There are no fees to file this form. Do not write-over, cross-out, or use white-out on this form, or it will be voided. If you make a mistake on the form, please complete a new one. Patient social security numbers are used to confirm identity and protect confidentiality. If you find your Registry card after sending in this form, return it to the Registry. Do not use the old card. Once your form is approved, the old card is voided and may be reported to law enforcement. Replacement cards cannot be mailed to a third party or sent “in care of” another party. After completing the form, you must sign and date it in front of a notary and have it notarized. Include a copy of your valid photo ID. The chart below lists the documents the Registry will accept:

PROOF OF IDENTITY The Registry requires a verifiable, photo ID for all forms. Please submit one of the following IDs with your form:  Colorado Driver’s License  Out-of-state Driver’s License  Colorado photo ID  Out-of-state photo ID  Temporary Colorado Driver’s License  U.S. Passport  Temporary Colorado ID  Military ID (copy of front and back)  Tribal ID i. ii. iii. iv. v.

10. 11. 12. 13.

All documents must be currently valid when received at the Registry. Damaged, expired, or tampered IDs are not valid. The address on the photo ID does not have to match the mailing address on the form. All IDs must be verifiable and have specific issue and expiration dates. The ID must show the patient’s date of birth.

Incomplete form, or forms without ID, will be returned to you. Make a copy of all your paperwork for files. Unless a fee is required, DO NOT send money to the Registry. All monies received at the Registry are nonrefundable. Please allow 4 to 6 weeks from the date the Registry receives your paperwork for processing. If you have not received a response within 6 weeks, please contact the Registry at 303-692-2184. Your paperwork or card will be mailed to the address on your form. Cards are not valid outside of Colorado, thus the Registry does not mail cards outside of the state. 14. The Registry may report lost, stolen or damaged registration card numbers to law enforcement statewide. No names, addresses or other personal information is provided to law enforcement, only the registration card number. 15. Submit paperwork by mail or deliver to the Registry’s drop-box. The Registry does not accept forms by fax or e-mail. Mail to: Issuance Unit CDPHE HSV-8608 4300 Cherry Creek Drive South Denver, CO 80246-1530

Drop-Box: Colorado Dept. of Public Health & Environment 710 S. Ash Street, South East Entrance Open: Monday-Friday, 7:00 a.m. to 6:00 p.m. The drop box is on the wall inside the first set of glass doors. Your paperwork must be in a sealed envelope. You will not receive a receipt. If you wish to have a receipt, please mail in your paperwork by certified mail.

MMR1004 – Lost/Stolen Form – Revised September 2012

68

Page 1 of 2

256

Medical Marijuana Registry

LS

4300 Cherry Creek Drive South, Denver, CO 80246-1530  303-692-2184 E-mail: [email protected]  Website: www.cdphe.state.co.us/hs/medicalmarijuana

Report of Lost, Stolen or Damaged Registry Card This form is not valid as a temporary registry card.

STAFF ONLY

See instructions on page 1. Photo ID required with all forms. Section A: Patient Information (Required) The name on the form must match the legal name on your photo ID.

1. Social Security Number (optional) 2. Last Name

____________ Evaluated

3. First Name

5a. Mailing Address State CO

4. Middle Initial

5b. Apartment/Suite #

7. Zip Code

8. County

9. Date of Birth

10. Telephone Number

11. E-mail Address (optional)* ____________ Old Card Voided

6. City

12. Gender Male Female

* By providing your e-mail address, you agree to receive communication from the Registry by e-mail.

13. What is the card number for your current card (if known)? 14. About what date was the registration card lost, stolen or damaged? ____________ Replacement Card Printed

Corrections:

15. Please write a brief statement about what happened to the registration card.

NOTICE: This form must be completed and reviewed by the Registry before a replacement card may be issued. The Serial Number of the lost, stolen or damaged registration card may be shared with appropriate government and law enforcement agencies in an effort to protect you and the people of Colorado.

I hereby certify that all information provided is correct and complete.

16. Patient’s Signature:

17. Date Signed: (mm/dd/yyyy)

The signature and proof of identity of the above individual was subscribed and sworn to before me by _____________________________________________ in _____________________ County, Colorado (Name of patient printed by notary)

(County name)

on this ________ day of _____________, 20____. (Day)

(Month)

___________________________________ (Notary’s official signature)

___________________________________ (Commission expiration date)

MMR1004 – Lost/Stolen Form – Revised September 2012

AFFIX NOTARY SEAL

Page 2 of 2

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DR 8544 (07/18/12) COLORADO DEPARTMENT OF REVENUE MEDICAL MARIJUANA ENFORCEMENT DIVISION

281

Appendix A Colorado Medical Marijuana Licensing Authority

Optional Premises Cultivation License

Business Applicant must fill out an Appendix A for EACH OPC it is applying for. Please see web site for fee table. Applicant's Legal Business Name (Please Print)

Medical Marijuana License Number (Assigned by Division)

Trade Name (DBA) (Provide Trade Name Registration)

Website Address

Physical Address Street Address of Optional Premises Cultivation

City

State

Business Phone Number

Home Phone Number

(

(

)

Mailing Address (if different from Business Address) Address

ZIP

Email Address

) City

State

ZIP

On a separate sheet, list all principal places of business for the past 10 years if different from above. Primary Contact Person for Business Title Primary Contact Phone Number Primary Contact Address (city, state ZIP) Federal Taxpayer ID

(

)

(

)

Primary Contact Fax Number

Colorado Sales Tax License #

Email Address

Does the applicant have legal possession of the premises by virtue of ownership, lease or other arrangement? Ownership Lease Other (Explain in Detail) ________________________________________________________________________ (a) If leased, list name of landlord and tenant, and date of expiration, EXACTLY as they appear on the lease: Landlord

Tenant

Expires

Attach a diagram of the premises to be licensed and outline or designate the area (including dimensions) which shows the limited access areas, walls, partitions, entrances, exits and what each room shall be utilized for in this business. This diagram should be no larger than 8 1/2" X 11". (Doesn't have to be to scale) Who, besides the owners listed in this application (including persons, firms, partnerships, corporations, limited liability companies, trusts), will loan or give money, inventory, furniture or equipment to or for use in this business; or who will receive money or profits from this business. Attach a separate sheet if necessary. NAME DATE OF BIRTH FEIN OR SSN INTEREST

Attach copies of all notes and security instruments, and any written agreement, or details of any oral agreement, by which any person (including partnerships, corporations, limited liability companies, etc.) will share in the profit or gross proceeds of this establishment, and any agreement relating to the business which is contingent or conditional in any way by volume, profit, sales, giving of advice or consultation. Local Licensing Authority/Department Information Local Licensing Authority/Department

Address

Local Licensing Authority contact name

Contact Number

Date of application with local authority

Date of approval from local authority, if any

Are you requesting a concurrent review?

94

Yes

No

Contact Email

282

DR 8524 (01/05/11) COLORADO DEPARTMENT OF REVENUE MEDICAL MARIJUANA ENFORCEMENT DIVISION 455 Sherman Street, Suite 390 Denver, CO 80203

COLORADO MEDICAL MARIJUANA LICENSE BOND Name of Bonding Company __________________________________ Bond Number _____________________________________________ KNOW ALL PERSONS BY THESE PRESENTS: That we, _________________________________________________, Street Address _________________________________, City ______________________________, County of ___________________________________, State of Colorado, as Principal, and ___________________________________, a surety company qualified and authorized to do surety business in the State of Colorado, as Surety, are held and firmly bound unto the State of Colorado to indemnify the State or local governmental entity for any loss suffered by reasons of violation of the conditions hereinafter contained in the penal sum of FIVE THOUSAND DOLLARS ($5,000.00), lawful money of the United States, for the payment of which, well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors and assigns jointly, severally, and firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH that whereas the Principal is applying for the issuance or renewal of a license issued pursuant to the Colorado Medical Marijuana Code, Article 43.3 of Title 12 of the Colorado Revised Statutes, which license or license renewal shall be valid, if not suspended or revoked, for a license period ending one year from the last day of the month of issuance of the license or renewal; NOW, THEREFORE, if the Principal is granted a license by the State pursuant to Article 43.3 of Title 12 of the Colorado Revised Statutes, during the term of said license and any renewal thereof, the Principal shall report and pay all sales and use taxes due the State of Colorado, or due any other entity for which the State is the collector or collecting agent, in a timely manner as provided by law. IT IS FURTHER PROVIDED that the aggregate liability of the Surety for all breaches of the condition of this bond, regardless of the number of years this bond shall continue in force, the number of claims made against this bond, and the number of premiums which shall be payable or paid shall not exceed the amount of the bond. IT IS FURTHER PROVIDED that pursuant to Section 12-43.3-304(2), C.R.S., the Surety shall not be required to make payments to the State of Colorado claiming under this bond until a final determination of failure to pay taxes due to the State has been made by the State Licensing Authority or a court of competent jurisdiction. IT IS FURTHER PROVIDED that the Surety shall have the right to cancel this bond for any reason authorized by statute by filing fortyfive (45) days’ written notice of such cancellation with the Principal and with the State Licensing Authority. If cancellation is based upon nonpayment of premium, this bond may be cancelled by the Surety upon ten (10) days’ written notice to the Principal and the State Licensing Authority. THIS OBLIGATION may be continued from year to year by the issuance by the Surety of a proper continuation certificate delivered to the State Licensing Authority pursuant to Section 12-43.3-304(3), C.R.S. Dated this ______ day of _________________, 20___. For the Principal: _____________________________________ For the Surety: ________________________________________ ACKNOWLEDGMENT OF SURETY STATE OF COLORADO COUNTY OF ____________________________

]

SS.

On this _____ day of ________________, 20___, before me, a notary public in and for the above State, personally appeared _____________________________________, to me personally known and being by me duly sworn, did say that he or she is an authorized corporate officer or the Attorney-in-Fact of ____________________________, a corporation duly organized and existing under the laws of the State of Colorado, or authorized to do business therein, and that he or she as such officer executed the foregoing instrument for the purposes herein contained on behalf of said corporation, and further acknowledged that the instrument was executed as the free act and deed of said corporation. IN WITNESS WHEREOF, I hereunto set my name and affixed my official seal on the day and year written above.

(S E A L)

________________________________________ Notary Public, State of Colorado My commission expires: ____________________

95

DR 8535 (08/03/11) COLORADO DEPARTMENT OF REVENUE Medical Marijuana Enforcement Division 455 Sherman Street Denver, CO 80203 Phone (303) 205-8421

283

CHANGE OF OWNERSHIP

Directions: Submit this form, written documentation of proposed change(s), the $2,500 change of ownership fee, and any applicable associated/associated key applications for new members of the ownership/control structure of the licensed entity. The $2,500 fee includes one new associated person or associated key person. Licensed (Legal) Business Name

DBA

License Number

Mailing Address

City

State

ZIP

CHECK APPLICABLE BOXES Redistributing ownership/control among current ownership group Distributing ownership to new persons who will have any ownership or controlling interest Adding new person or business with either a direct or financial interest in the licensee QUESTIONS Is this ownership change, transfer or change of financial interest being submitted 30 days prior to the transfer or change being completed? Yes No Has the licensed entity requesting the changes or transfers detailed in this application received local approval for the changes? (Submit Yes No proof of local approval with this form)

CURRENT OWNERSHIP STRUCTURE* List all persons and/or entities with any ownership interest, and all officers and directors, whether they have ownership interest or not. If an entity (corporation, partnership, LLC, etc.) has interest, list all persons associated with such entity, their ownership in the entity, and their effective ownership in the license. List all parent, holding or other intermediary business interest. Name

Title

SSN/FEIN

DOB

App submitted? Yes

Address

City

Business Associated with (Parent business or sub-entity)

ZIP

Phone Number

(

Own. % Business Associated with

Name

Title

Address

City

Business Associated with (Parent business or sub-entity)

SSN/FEIN State

ZIP

Title

Address

City

Business Associated with (Parent business or sub-entity)

SSN/FEIN State

ZIP

DOB

Title

Address

City

SSN/FEIN State

ZIP

Own. % Business Associated with

App submitted? Yes No

Phone Number

(

)

Effective Own. % in Applicant DOB

App submitted? Yes No

Phone Number

(

Own. % Business Associated with

Name

)

Effective Own. % in Applicant

Own. % Business Associated with

Name

Business Associated with (Parent business or sub-entity)

State

No

)

Effective Own. % in Applicant DOB

App submitted? Yes No

Phone Number

(

)

Effective Own. % in Applicant

*List all persons and/or entities with ownership interest. If an entity (corporation, partnership, LLC, etc.) has interest, list all persons associated with such entity and their effective ownership in the license. Use additional sheets or attachments if necessary.

96

284

PROPOSED OWNERSHIP STRUCTURE* Name

Title

Address

City

Business Associated with (Parent business or sub-entity)

State

ZIP

DOB

Title

Address

City

Business Associated with (Parent business or sub-entity)

SSN/FEIN State

ZIP

(

SSN/FEIN

)

Effective Own. % in Applicant DOB

App submitted? Yes No

Phone Number

(

Own. % Business Associated with Title

App submitted? Yes No

Phone Number

Own. % Business Associated with

Name

Name

SSN/FEIN

)

Effective Own. % in Applicant DOB

App submitted? Yes

Address

City

Business Associated with (Parent business or sub-entity) Name

State

ZIP

Phone Number

(

Own. % Business Associated with Title

SSN/FEIN

)

Effective Own. % in Applicant DOB

App submitted? Yes

Address

City

Business Associated with (Parent business or sub-entity)

ZIP

Title

Address

City

Business Associated with (Parent business or sub-entity)

SSN/FEIN State

ZIP

(

Title

Address

City

SSN/FEIN State

ZIP

Own. % Business Associated with

)

Effective Own. % in Applicant DOB

App submitted? Yes No

Phone Number

(

Own. % Business Associated with

Name

No

Phone Number

Own. % Business Associated with

Name

Business Associated with (Parent business or sub-entity)

State

No

)

Effective Own. % in Applicant DOB

App submitted? Yes No

Phone Number

(

)

Effective Own. % in Applicant

*List all persons and/or entities with ownership interest. If an entity (corporation, partnership, LLC, etc.) has interest, list all persons associated with such entity and their effective ownership in the license. Use additional sheets or attachments if necessary. I, the undersigned, as authorized agent of the Applicant, do hereby certify that I have not knowingIy made a false statement or omitted any material fact on this application or any attachments, which could be cause for denial of the application or termination of any Medical Marijuana license. I authorize the Colorado Medical Marijuana Enforcement Division to investigate matters set forth in this license application. I understand that further information may be requested of me in regard to this application and I agree to supply such information upon request. Name of Person Completing Form (please print)

Title

Signature

Date

97

285

Colorado Medical Marijuana Licensing Authority

DR 8530 (07/01/10) COLORADO DEPARTMENT OF REVENUE MEDICAL MARIjUAnA EnFORCEMEnT DIvISIOn

Business License Application

License Types & Fees (Check only one application type. See Application Checklist for details on license types and fees.) Medical Marijuana Center (Type 1*): $7,500 application fee Medical Marijuana Center (Type 2*): $12,500 application fee Medical Marijuana Center (Type 3*): $18,000 application fee.

Optional Premises Cultivation License: $1,250 Medical Marijuana–Infused Products Manufacturer: $1,250 *Type 1=300 or fewer patients, *Type 2=301 to 500 patients; *Type 3=501 or more patients

Applicant's Name (Please Print)

Medical Marijuana License number (Assigned by Division)

Trade Name (DBA) (Provide Trade Name Registration)

Website Address

Physical Address Street Address of Medical Marijuana Business (Required for Retailer Applicants)

City

State

ZIP

(Use Appendix A for Optional Premises Cultivation Information)

Business Phone number

Home Phone number

(

(

)

Email Address

)

Mailing Address (if different from Business Address) Address

City

State

ZIP

On a separate sheet, list all principal places of business for the past 10 years if different from above. Primary Contact Person for Business Title Primary Contact Phone number

( Primary Contact Address (city, state ZIP)

)

Primary Contact Fax number

( Federal Taxpayer ID

Colorado Sales Tax License #

)

Email Address

Type of Business Structure Sole Proprietorship

Partnership

Limited Partnership

Limited Liability Company

C Corporation

S Corporation

Publicly Traded Corporation

Trust

State of Incorporation or Creation of Business Entity

Other ______________________

Date

Date of Qualification to Conduct Business in colorado (Provide Certificate of Authority from the Colorado Secretary of State's Office) If a Corporation, List all States Where the Corporation is Authorized to Conduct Business List all Trade names used by the Business Entity (other than above) Attach certified copies of all articles of incorporation, bylaws, articles of organization, or a true copy of any partnership or trust agreement, including any and all amendments to such. If a corporation, attach copies of all annual and bi-annual reports, SEC filings, if any, and all minutes from all corporate meetings for the past 12 months. Attach current copy of any Uniform Commercial Code Report for all states where known to be filed.

FOR DEPARTMENT OF REVENUE USE ONLy - DO NOT wRITE IN ThIS SPACE Liability Information County

City

Industry Type

License Account Number

Liability Date

License Issued Through (Expiration Date)

FROM

State

Cash Fund New License

City

County

TO

Managers Reg

TOTAL

Cash Fund Transfer License

$

• Page 1 of 8

98

286 Applicant’s Printed Trade Name (DBA)

OwNERShIP STRUCTURE List all persons and/or entities with any ownership interest, and all officers and directors, whether they have ownership interest or not. If an entity (corporation, partnership, LLC, etc.) has interest, list all persons associated with such entity, their ownership in the entity, and their effective ownership in the license. List all parent, holding or other intermediary business interest. An Associated Person License Application form must be submitted for all persons in a privately held company or a publicly traded corporation, and all officers and directors. Name Title SSN/FEIN DOB App submitted? Yes Address

City

Business Associated with (Parent business or sub-entity)

State

ZIP

Phone number

(

Own. % Business Associated with

Name

Title

Address

City

SSN/FEIN

)

Effective Own. % in Applicant DOB

App submitted? Yes

Business Associated with (Parent business or sub-entity) Name

State

ZIP

SSN/FEIN

(

)

Effective Own. % in Applicant DOB

App submitted? Yes

Address

City

Business Associated with (Parent business or sub-entity) Name

State

ZIP

SSN/FEIN

(

)

Effective Own. % in Applicant DOB

App submitted? Yes

Address

City

Business Associated with (Parent business or sub-entity)

State

ZIP

Title

Address

City

SSN/FEIN

(

)

Effective Own. % in Applicant DOB

App submitted? Yes

Business Associated with (Parent business or sub-entity) Name

State

ZIP

SSN/FEIN

(

)

Effective Own. % in Applicant DOB

App submitted? Yes

Address

City

Business Associated with (Parent business or sub-entity) Name

State

ZIP

SSN/FEIN

(

)

Effective Own. % in Applicant DOB

App submitted? Yes

Address

City

Business Associated with (Parent business or sub-entity)

State

ZIP

Own. % Business Associated with

No

Phone number

Own. % Business Associated with Title

No

Phone number

Own. % Business Associated with Title

No

Phone number

Own. % Business Associated with

Name

No

Phone number

Own. % Business Associated with Title

No

Phone number

Own. % Business Associated with Title

No

No

Phone number

(

)

Effective Own. % in Applicant

Are there any outstanding options and warrants? Yes

No *If YES, attach list of persons with outstanding options and warrants

Are there any other persons, other than those listed in the Ownership Structure, including but not limited to suppliers, lenders and landlords, who will receive, directly or indirectly, any compensation or rents based upon a percentage or share of gross proceeds or income of the Medical Marijuana business? Yes No *If YES, attach list of persons and submit Associate Person License Application forms for each person Page 3 of 8

99

287

Colorado Medical Marijuana Enforcement Divsion

Appendix A Optional Premises Cultivation License Applicant's Name (Please Print)

Medical Marijuana License number (Assigned by Division)

Trade Name (DBA) (Provide Trade Name Registration)

Website Address

Physical Address Street Address of Optional Premises Cultivation

City

State

Business Phone number

Home Phone number

(

(

)

Mailing Address (if different from Business Address) Address

ZIP

Email Address

) City

State

ZIP

On a separate sheet, list all principal places of business for the past 10 years if different from above. Primary Contact Person for Business Title Primary Contact Phone number

( Primary Contact Address (city, state ZIP)

( Federal Taxpayer ID

)

Primary Contact Fax number Colorado Sales Tax License #

)

Email Address

Does the applicant have legal possession of the premises by virtue of ownership, lease or other arrangement? Ownership Lease Other (Explain in Detail) ________________________________________________________________________ (a) If leased, list name of landlord and tenant, and date of expiration, EXACTLY as they appear on the lease: Landlord

Tenant

Expires

Attach a diagram of the premises to be licensed and outline or designate the area (including dimensions) which shows the limited access areas, walls, partitions, entrances, exits and what each room shall be utilized for in this business. This diagram should be no larger than 8 1/2" X 11". (Doesn't have to be to scale) Who, besides the owners listed in this application (including persons, firms, partnerships, corporations, limited liability companies, trusts), will loan or give money, inventory, furniture or equipment to or for use in this business; or who will receive money or profits from this business. Attach a separate sheet if necessary. NAME DATE OF BIRTh FEIN OR SSN INTEREST

Attach copies of all notes and security instruments, and any written agreement, or details of any oral agreement, by which any person (including partnerships, corporations, limited liability companies, etc.) will share in the profit or gross proceeds of this establishment, and any agreement relating to the business which is contingent or conditional in any way by volume, profit, sales, giving of advice or consultation.

Report And Approval Of Local Licensing Authority (CITy/COUNTy) Date application filed with local authority

Date of local authority hearing (if held, for new license applicants; cannot be less than 30 days from date of application 12-43.3-302 (1) C.R.S.)

ThE LOCAL LICENSING AUThORITy hEREBy AFFIRMS:

Yes no

It has adopted an ordinance or resolution containing specific standards for license issuance prior to july 1, 2011 .................................... Give citation of ordinance or resolution _________________________________________________________________________________ Has not adopted an ordinance or resolution and will be using minimum licensing requirements in 12-43.3-Part 3 C.R.S. ......................... The foregoing application, the premises, and business to be conducted have been examined. We do report that such license, if granted, will comply with the provisions of Title 12, Article 43.3, C.R.S. ThEREFORE, ThIS APPLICATION IS APPROVED. Local Licensing Authority for Telephone number TOWn, CITY COUnTY Signature

Title

Date

Signature (attest)

Title

Date

Page 8 of 8

100

Change of Ownership or Location – Documents Checklist:

288

□ MMED Change of Ownership Form – DR8535 (On the MMED website - The top of the form should indicate the new owner(s) information and be signed at the bottom of page two by the new owner(s). Current ownership on page one is the ownership PRIOR to the sale and the proposed ownership on page two is the ownership after the sale.) The license number is the number of the entity being bought or sold, Center, MIP or OPC. □ Report of Changes Form – DR8545 for Change of Location, Modification of Premise or Change of Trade Name. * □ Provide MMED an amended pages 1 and 3 of the business application and “Appendix A” if necessary. (On the MMED Website) * □ Evidence of local approval for the sale, transfer of ownership or change of location. (This could be a copy of the front page of the local application or letter from local authority.) * □ Executed Sales Contract or Agreement □ Provide “Request for Voluntary Withdrawal of Application” form for withdrawing owners. (Withdrawals must be on MMED forms and should be filled out by the investigator handling the ownership change.) □ Provide MMED with new Key Associate application(s) if necessary □ New or Amended Operating Agreement □ Amended Lease indicating new owners or a lease for new location. (If someone purchases the Corporations or LLC then the existing lease, unless personally guaranteed by the previous owners is acceptable.) * □ New floor plans of any facility that is modifying the business premises or changing location - including security diagrams * □ New or amended bond form or acknowledgment from the bonding company of the change of ownership or location. □ Change ownership, location and/or business information with the Colorado Secretary of State □ Sign Ownership and Funding Certification (Provided by MMED at time of change.) □ Payment of fees *

Only items in RED are required for the sale of an Optional Premise Cultivation. Only items with asterisk (*) are for required for Change of Location. Revised: September, 13 2012 

101

Department Use Only

DR 8545 (07/02/12) COLORADO DEPARTMENT OF REVENUE

289

MEDICAL MARIJUANA ENFORCEMENT DIVISION REPORT OF CHANGES

CURRENT LICENSE NUMBER ____________________________ ALL ANSWERS MUST BE PRINTED LEGIBLY OR TYPEWRITTEN 1. Applicant is a Corporation

Individual

2. Name of Business

Partnership 3. Trade Name

Limited Liability Company

4.Location Address

City

County

ZIP

SELECT THE APPROPRIATE SECTION BELOW AND PROCEED TO THE INSTRUCTIONS ON PAGE 2. Section A – Duplicate License

Section B

Change Corp. or Trade Name Permit (ea) ............................50.00 Duplicate License .........................................................$50.00 Change Location Permit (ea) ............................................. 150.00 Change, Alter or Modify Premises $150.00 x ______ Total Fee _________________

DO NOT WRITE IN THIS SPACE – FOR DEPARTMENT OF REVENUE USE ONLY DATE LICENSE ISSUED

LICENSE ACCOUNT NUMBER

The State may convert your check to a one time electronic banking transaction. Your bank account may be debited as early as the same day received by the State. If converted, your check will not be returned. If your check is rejected due to insufficient or uncollected funds, the Department of Revenue may collect the payment amount directly from your bank account electronically.

102

PERIOD

TOTAL AMOUNT DUE $

.00

290

INSTRUCTION SHEET FOR ALL SECTIONS, COMPLETE QUESTIONS 1-4 LOCATED ON PAGE 1

Section A For a Duplicate license, be sure to include the license number in the upper portion of page 1 and proceed to page 4 for Oath of Applicant signature.

Section B Check the appropriate box in section C and proceed below. 1) Change Trade Name or Corporation Name, go to page 3 and complete question 1 (be sure to check the appropriate box). Submit the necessary information and proceed to page 4 for Oath of Applicant signature. 2) To modify Premise, go to page 4 and complete question 3. Submit the necessary information and proceed to Oath of Applicant signature. 3) To Change Location, go to page 3 and complete question 2. Submit the necessary information and proceed to page 4 for Oath of Applicant signature.

103

291

DR 8545 (07/02/12) Page 3

CHANGE TRADE NAME OR CORPORATE NAME

Section C 1. Change of Trade Name or Corporation Name Change of Trade name / DBA only (Attach the following supporting documents) 1. Certificate of Amendment filed with the Secretary of State. Corporate Name Change (Attach the following supporting documents) 1. Certificate of Amendment filed with the Secretary of State, or 2. Statement of Change filed with the Secretary of State, and 3. Minutes of Corporate meeting, Limited Liability Members meeting, Partnership agreement. Old Trade Name

New Trade Name

Old Corporate Name

New Corporate Name

2. Change of Location NOTE TO LICENSEES: You may only change location within the same jurisdiction as the original license that was issued.

Date filed with Local Authority _______________________

CHANGE OF LOCATION

(a) Address of current premises ______________________________________________________________ City ________________________ County _______________________________ Zip ___________________ (b) Address of proposed New Premises (Attach copy of the deed or lease that establishes possession of the premises by the licensee) Address ______________________________________________________________________________ City ________________________ County _______________________________ Zip ___________________ (c) New mailing address if applicable. Address ______________________________________________________________________________ City ________________________ County _____________________ State ________ Zip _____________ (d) Attach detailed diagram of the premises and proof from local licensing authority that the change has been approved.

104

292

DR 8545 (07/02/12) Page 4

3. Modification of Premises NOTE: Licensees may not modify their licensed premises until approved by state and local authorities.

(a) Describe change proposed _____________________________________________________________ __________________________________________________________________________________ ____________________________________________________________________________________ (b) If the modification is temporary, when will the proposed change: MODIFY PREMISES

Start _________________ (mo/day/year) End _________________ (mo/day/year) (c) Will the proposed change result in the licensed premises now being located withing 500 feet of any public or private school that meets compulsory education requirements of Colorado law, or the principal campus of any college, university or seminary? (If yes, explain in detail and describe any exemptions that apply) ............................................Yes

No

(d) Is the proposed change in compliance with local building and zoning laws? ............................ Yes

No

(e) Attach a diagram of the current licensed premises and a diagram of the proposed changes for the licensed premises. (f) Attach any existing lease that is revised due to the modification.

OATH OF APPLICANT I declare under penalty of perjury in the second degree that I have read the foregoing application and all attachments thereto, and that all information therein is true, correct, and complete to the best of my knowledge.

Signature

Title

Date

REPORT AND APPROVAL OF LOCAL LICENSING AUTHORITY (CITY / COUNTY) The foregoing application has been examined and the premises, business conducted and character of the applicant is satisfactory, and we do report that such permit, if granted, will comply with the applicable provisions of Title 12, Article 43.3, C.R.S. , as amended. THEREFORE, THIS APPLICATION IS APPROVED.

Local Licensing Authority (City or County)

Signature

Date filed with Local Authority

Title

Date

REPORT OF STATE LICENSING AUTHORITY The foregoing has been examined and complies with the filing requirements of Title 12, Article 43.3, C.R.S., as amended.

Signature

Title

Date

105

EBG Division Refund: 

CLAIM FOR REFUND 

□ – Auto Industry  □ – Liquor   □ – Marijuana  □ – Racing 

(Enforcement Business Group ONLY) 

No CASH REFUNDS.  Refunds will be  issued via State warrant.

293

RAA No.:____________________    Refund No.:

*  Submit separate claim form for each type of fee refund being requested.  *  Application fees are NOT refundable; Only refundable fees/taxes will be refunded by Division.  *  Refunds will ONLY be issued in the name of the Applicant/Licensee to which the funds were posted.  *  Change of address may be incorporated on this form; but, is subject to verification by Division.  *  Periods can be combined by fee/tax type.  Warrant No.:____________________  *  Submit white copy; retain yellow copy for your records.  Date issued: ____________________  *  Errors/Omissions/Verifications may delay timing of refunds. Refund to be made payable to and mailed to ONLY Applicant/Licensee as reflected in Division Records Applicant/Licensee Name:  _____________________________________________________________________________________________________________ Mailing Address:   [If requesting change of address, please check box □]  _____________________________________________________________________________________________________________  City:                    State:    ZIP:  _____________________________________________________________________________________________________________  License/Fee/Tax Type: 

 

 

 

License No., if issued 

 

 

FEIN: 

_____________________________________________________________________________________________________________  Original Amount Paid: 

Date Paid: 

 

Period (mo/yr – mo/yr): 

 

Refund Requested (by Period): 

  _____________________________________________________________________________________________________________

Reason for Refund Requested:  [Explain below or on separate sheet.][Attach supporting documentation.]  Application Withdrawn: Check box: □     [Division will determine applicability of refund and amount] 

 

I declare under penalty of perjury in the second degree that this claim including all attachments is to the best  of my knowledge true and correct and that the named Applicant/Licensee is the same as the original payee.  Applicant/Licensee Name: 

 

 

 

Telephone: 

 

 

Date:   

 

_____________________________________________________________________________________________________________ 

Signature of Preparer:   

 

 

 

Title: 

_____________________________________________________________________________________ 

Licensing Approvals/Date:    

FOR DOR ENFORCEMENT BUSINESS GROUP DIVISION USE ONLY. Do not Write in this Section.  Entered into spreadsheet _____ _______  Entered into GenTax         ____  ________  Approved in GenTax          _____ _______  Transfer completed           _____ _______  

106

Transfer needed?  Yes:  □:       No:  □: Input by:_________  From Liab:_________ to Liab_________  From Liab:_________ to Liab_________ 

Amount: $________  Amount: $________

Division Approvals/Date:  Director:       ____________  Controller:   ____________ 

O TE

F C O LO R

A

DO

ST A

294

18

76

PA

ME

NU

E

DE

RT

N T O F RE

VE

COLORADO EMPLOYEE KEY MEDICAL MARIJUANA LICENSE APPLICATION

Medical Marijuana Enforcement Division DR 8526 (02/15/11)

107

295

Colorado Medical Marijuana Enforcement Division Employee Key Application Instructions

APPLICATION CHECKLIST

108

1

License Type Employee Key: Any manager, supervisor or lead worker, who acts as a Key employee or agent while physically working in a licensed establishment, Optional Premises or Infused Products Manufacturer location.

2

Application Completed & Signed Type or clearly print an answer to every question. If a question does not apply to you, indicate so with an N/A. If you are unsure if a question applies to you or what information the form is asking you to provide, contact any Medical Marijuana Enforcement Division office to seek clarification. If the available space is insufficient, continue on a separate sheet and precede each answer with the appropriate title. Sign and date the application. Notice: You are required by state law to provide your social security number. If you do not have a social security number, you must complete a sworn statement (available at any Medical Marijuana Enforcement Division office) stating you do not have a social security number.

3

Attachments The following must be attached: Certified copy of DD214, if applicable

4

Bring in Application (BY APPOINTMENT ONLY) Bring in application and all attachments to: Medical Marijuana Enforcement Division 455 Sherman Street, Suite 390, Denver CO 80203

5

Application Fee: EXACT CHANGE ONLY Submit $250 NON-REFUNDABLE application fee for a two-year license. Cash, check, or money order accepted. Make check or money order payable to: Colorado Medical Marijuana Enforcement Division (MMED). If you are upgrading your license from an occupational support the fee is $203.65.

296 Medical Marijuana License Number (Leave Blank)

DR 8526 (02/15/11) COLORADO DEPARTMENT OF REVENUE MEDICAL MARIJUANA ENFORCEMENT DIVISION

Employee Key License Application Form Applicant's Last Name (Please Print)

First Name (Please Print)

If Associated Person or Associated Key, Name of Maiden/Married Names Used (Full Name) (Attach separate sheet if necessary) Medical Marijuana Licensee Associated With

Sex

Race

M

Date of Birth

Nicknames, Ailases, Etc. Used (Full Name) (Attach separate sheet if necessary)

Social SecurityNumber

Other Social Security Numbers Used

F

Yes

Place of Birth: City

State Height

Physical Appearance U.S. Citizen Yes

Middle Name

Weight

No

Yes

No

Hair Color

Eye Color

*If "No", include details here: (Attach separate sheet if necessary)

Physical Address Address

City

Length of time at this Address: Year(s) Month(s)

Scars/Tattoos

Date of Residency

Home Phone Number

Cell Phone Number

(

(

Mailing Address (if different from Physical Address) Address

If yes explain on a separate sheet

No

Alien Registration Number

County

)

If yes attach details.

Drivers License Number and State+

Yes

CO Resident No

Country

State

ZIP

Email Address

)

City

State

ZIP

List all addresses where you have lived during the last 10 years, not including present address, (attach separate sheet if necessary) Street and Number

City/State/ZIP

From

Name of licensed Medical Marijuana business where you will be working Work Phone Number Name of present employer, if different from above

(

)

(

)

Work Phone Number

To

Job Title Occupation or Job Title

Do you currently possess a Colorado support Medical Marijuana license or are you an associated person in any other type of Colorado Medical Marijuana license? Yes No *If "Yes", indicate license type and number here: ____________________________________________________________ Have you ever applied before for a Medical Marijuana license in this or any other jurisdiction, domestic or foreign, whether or not the license was ever issued? (Not including your medical marijuana patient card) Yes No *If "Yes", explain here: _________________________________________________________________________________ Have you ever been denied a Medical Marijuana license, withdrawn a Medical Marijuana license application or had any disciplinary action taken against any Medical Marijuana license that you have held, either individually or as part of an ownership group, in this or any other jurisdiction? Yes No Applicant's Signature

*If "Yes", explain here: _________________________________________________________________________________ Date

Page 1 of 13

109

Applicant's Last Name (Please Print)

297 Middle Name

First Name (Please Print)

NOTICE: The Employee Key License Application Form is an official document. If you provide false information on your Medical Marijuana license application and/or do not disclose all information the application asks, your license is subject to denial or revocation, and you may be subject to criminal prosecution. The Medical Marijuana Enforcement Division will conduct a complete background investigation and will check all sources of information. You are advised that it is better to disclose all information than face denial, revocation or criminal prosecution. If you need clarification of any of the following questions, please contact the Investigations Section at any Medical Marijuana Enforcement Division office. 1.

Have you ever been convicted of a felony at anytime regarding the possession, distribution, or use of a controlled substance?

Yes

No

2.

Have you served a sentence, including probation or parole, within the past 5 years upon conviction for any felony, even if the conviction occurred more than 5 years ago?

Yes

No

3.

Are you a licensed Physician making patient recommendations?

Yes

No

4.

Have you had your authority to act as a primary caregiver revoked by the State Health Agency?

Yes

No

5

Are you under 21 years of age at the time of this application?

Yes

No

6.

Are you the spouse or child living in the household of any person employed by the Colorado Medical Marijuana Enforcement Division?

Yes

No

7.

Are you a sheriff, deputy sheriff, police officer, or prosecuting officer, or an officer or employee of the medical marijuana state licensing authority or a local licensing authority?

Yes

No

If you answered YES to any of the above questions, by Colorado law you cannot obtain or hold a Colorado Medical Marijuana license. I have thoroughly read and understand the questions above, and understand that I cannot hold a Colorado Medical Marijuana license if at any time in the future I can ever answer “Yes” to any of the questions above. Applicant's Signature

Date

Page 2 of 13

110

Applicant's Last Name (Please Print)

298 Middle Name

First Name

Education High School Name

Location

Major

Dates Attended From

College/Vo-Tech Name (Submit diploma copy) Major Other College/School Name (Submit diploma copy)

Yes

Degree Earned No

To

Degree Earned

Graduate Yes

No

Location Dates Attended From

Other College/School Name (Submit diploma copy) Major

Graduate

Location Dates Attended From

Major

To

To

Degree Earned

Graduate Yes

No

Location Dates Attended From

To

Graduate Yes

Degree Earned No

Employment and Business Association History Beginning with your current employment, list all jobs you have held in the past 10 years, but not prior to age 18. Also, list all businesses with which you have been associated, including all corporations, partnerships or any other business ventures with which you have been associated, including as an officer, director, stockholder, partner, limited partner, member, or in any other related capacity. Employer/Business Name Dates (from-to) Title Description of Duties Reason for Leaving Address (include ZIP code) Employer/Business Name

Dates (from-to)

Title

Supervisor's Name Description of Duties

Address (include ZIP code) Employer/Business Name

Dates (from-to)

Title

Supervisor's Name Description of Duties

Address (include ZIP code) Employer/Business Name

Dates (from-to)

Title

Dates (from-to)

Title

Description of Duties

Dates (from-to)

Title

Address (include ZIP code)

Reason for Leaving Supervisor's Name

Description of Duties

Address (include ZIP code) Employer/Business Name

Reason for Leaving Supervisor's Name

Address (include ZIP code) Employer/Business Name

Reason for Leaving

Reason for Leaving Supervisor's Name

Description of Duties

Reason for Leaving Supervisor's Name

Applicant's Initials

Page 3 of 13

111

Applicant's Last Name (Please Print)

299 Middle Name

First Name

Military Information Have you ever served in any armed forces? (Please provide certified copy of DD214) Yes

No

Branch

If “Yes”: Service Number

Active

Reserve Date of Service

Type of Discharge

Grade/Rank

While in military service, were you ever arrested for an offense in violation of UCMJ? Yes

No

If “Yes”, explain in detail on a separate sheet and attach it to your application.

Criminal History 1. Have you, after turning 18 years of age, ever been arrested, served a criminal summons, charged with, or convicted of ANY crime regarding the possession, distribution, or use of a controlled substance?

Yes

No

2. In the last 10 years have you ever been arrested, served with a criminal summons, charged with, or convicted of ANY non-drug or non-narcotic related crime or offense in any manner in this or any other country? • You must include ALL arrests, charges, and convictions in the last 10 years, but not prior to the age of 18, regardless of the outcome, even if the charges were dismissed or you were found not guilty. • You must include ALL arrests, charges, and convictions regardless of the class of crime (felonies, misdemeanors, and/or petty offenses). • You must include ALL serious traffic offenses, including DUI; DWAI; reckless driving; leaving the scene of an accident (hit and run); driving under denial, suspension or revocation; or any other offense which resulted in your being taken into custody. • NOTICE: Do not rely upon your understanding that an arrest or charge is “not supposed to be on your record.” A criminal record was not cleared, erased, sealed or expunged unless you were given, and have in your possession, a written order from a judge directing that action.

Yes

No

*If you answered YES, explain in detail on the sheet provided. For each offense for which you were arrested or charged, YOU MUST OBTAIN OFFICIAL DOCUMENTATION FROM THE COURT WHERE YOU APPEARED, SHOWING THE FINAL DISPOSITION (OUTCOME) OF YOUR CASE. This information will include whether you were found guilty or not guilty; and the penalty (money fine, time in jail or prison, or probation or deferred sentence). If you received a deferred judgment, a deferred sentence, or probation, your documentation must include the date that you were discharged or released from probation or other supervision. 3. Have you ever received a pardon or its equivalent for any criminal offense in this or any other country?

Yes

No

4. Have you, as an individual, as a member of a partnership or other form of domestic or foreign business entity, or as owner, director, or officer of a corporation, ever been a party to a lawsuit (other than divorces), either as a plaintiff or defendant, complainant or respondent, or in any other fashion, in this or any other country?

Yes

No

*If you answered YES to any of the preceding questions, explain in detail on a separate sheet and attach it to your application.

Applicant's Initials

Page 4 of 13

112

Applicant's Last Name (Please Print)

300 Middle Name

First Name

DR 8521 (02/15/11) COLORADO DEPARTMENT OF REVENUE MEDICAL MARIJUANA ENFORCEMENT DIVISION

ARREST DISCLOSURE FORM If, since turning age 18, you have ever been arrested, served a criminal summons, charged with, or convicted of ANY crime regarding the possession, distribution or use of a controlled substance, you must disclose this information to the Medical Marijuana Enforcement Division. If you have been arrested in the past 10 years, given a summons, or been convicted of any non-narcotic offense, you must disclose this information to the Medical Marijuana Enforcement Division. Any person licensed by the Medical Marijuana Enforcement Division, and any associated person to a licensee, must make written notification to the Division’s office of any criminal conviction and/or criminal charge pending against such person within 10 days of such arrest, summons, or conviction. This includes: • • • • • •

Being taken into custody for any offense, including traffic offenses Being issued a summons or citation for any offense except for minor traffic offenses Failing to comply with your sentencing requirements Failing to appear for a court proceeding and having a bench warrant issued Having your driver’s license suspended or revoked Being alleged to have driven under the influence or impairment of intoxicating liquor or drugs

Failure to disclose an arrest or citation may result in disciplinary action, up to and including the denial of your license application. Please List Each Offense Separately

1

Date of Offense

Place of Offense

Arresting Agency Original Charge Disposition Narrative — Must also provide official documentation (except for minor traffic offense).

2

Date of Offense

Place of Offense

Arresting Agency Original Charge Disposition Narrative — Must also provide official documentation (except for minor traffic offense).

Printed Name Signature

MMED License Number (not Patient ID #) Date Page 5 of 13

113

Applicant's Last Name (Please Print)

301 Middle Name

First Name

DR 8521 (07/01/10) COLORADO DEPARTMENT OF REVENUE MEDICAL MARIJUANA ENFORCEMENT DIVISION

ARREST DISCLOSURE FORM (Continued)

Please List Each Offense Separately

3

Date of Offense

Place of Offense

Arresting Agency Original Charge Disposition Narrative — Must also provide official documentation (except for minor traffic offense).

4

Date of Offense

Place of Offense

Arresting Agency Original Charge Disposition Narrative — Must also provide official documentation (except for minor traffic offense).

Printed Name Signature

MMED License Number (not Patient ID #) Date

Page 6 of 13

114

Applicant's Last Name (Please Print)

302 Middle Name

First Name

Financial History 1.

Are you delinquent in the filing of any tax return with any taxing agency anywhere?

Yes

No

2.

Are you delinquent in the payment of any taxes, interest, or penalties due to any taxing agency anywhere?

Yes

No

3.

Are you delinquent in the payment of any judgments due to any governmental agency anywhere?

Yes

No

4.

Are you delinquent in the repayment of any government-insured student loans?

Yes

No

5.

Are you delinquent in the payment of any child support?

Yes

No

6.

Check any of the following privileged or professional licenses you have held individually or as part of an ownership group in this state or any other domestic or foreign jurisdiction:

Yes

No

Liquor

Real Estate Broker/Sales

Accountant

Lawyer

Physician

Insurance

Racing

Lottery

Securities Dealer

Gaming

Other ________________________________________________________________________ 7.

Have you ever been denied a privileged or professional license, withdrawn a privileged or professional license application or had any disciplinary action taken against any such license that you have held, either individually or as part of an ownership group?

Yes

No

8.

Have you, as an individual, principal of any form of business entity, or as an owner, officer or director of a corporation, ever filed a bankruptcy petition, had such a petition filed against you or the business entity or the corporation; or had a receiver, fiscal agent, trustee, reorganization trustee or similar person appointed for you or the business entity or corporation?

Yes

No

9.

Do you now own, have ever owned, or otherwise derive a benefit from assets held outside the United States, whether held in your own name or another name, on your behalf or for another person or entity, or through other individuals or business entities, or in trust, or in any other fashion or status?

Yes

No

10.

Are you currently a party, or ever been a party, in any capacity, to any trust instrument?

Yes

No

11.

Has a complaint, judgment, consent decree, settlement or other disposition related to a violation of federal, state or similar foreign antitrust, trade or security law or regulation ever been filed or entered against you or a business entity of which you were a principal or against a corporation for which you were an owner, officer or director.

Yes

No

*If you answered YES to any of the questions above or checked any boxes above, give details on separate sheet, including license number and dates license held for licenses marked on question 6. Include any items currently under formal dispute or legal appeal. Attach any documents to prove your settlement on any of these issues.

Personal Financial 1. Annual Income You must submit copies of Federal Income Tax Returns for the Past Two (2) Years.

4

Salary (Source):

$

Salary (Source):

$

Interest (Source):

$

Interest (Source):

$

Dividends (Source):

$

Dividends (Source):

$

Other (Source):

$

Other (Source):

$ TOTAL

$ Applicant's Initials Page 7 of 13

115

303 DR 4679 (09/21/06) COLORADO DEPARTMENT OF REVENUE

AFFIDAVIT - RESTRICTIONS ON PUBLIC BENEFITS

I, ______________________________________________________________ , swear or affirm under penalty of perjury under the laws of the State of Colorado that (check one):

I am a United States citizen. I am not a United States citizen but I am a Permanent Resident of the United States. I am not a United States citizen but I am lawfully present in the United States pursuant to Federal law. I am a foreign national not physically present in the United States.

I understand that this sworn statement is required by law because I have applied for a public benefit. I understand that state law requires me to provide proof that I am lawfully present in the United States prior to receipt of this public benefit. I further acknowledge that making a false, fictitious, or fraudulent statement or representation in this sworn affidavit is punishable under the criminal laws of Colorado as perjury in the second degree under Colorado Revised Statute 18-8-503 and it shall constitute a separate criminal offense each time a public benefit is fraudulently received. Signature

Date

Page 8 of 13

116

304

Affirmation & Consent I, _______________________________________, state under Penalty for offering a false instrument for recording pursuant to 18-5-114 C.R.S. that the entire Key Employee License Application Form, statements, attachments, and supporting schedules are true and correct to the best of my knowledge and belief, and that this statement is executed with the knowledge that misrepresentation or failure to reveal information requested may be deemed sufficient cause for the refusal to issue a Medical Marijuana license by the State Licensing Authority. Further, I am aware that later discovery of an omission or misrepresentation made in the above statements may be grounds for the denial of a temporary Medical Marijuana application or the revocation of the license. I am voluntarily submitting this application to the Colorado Medical Marijuana Licensing Authority under oath with full knowledge that I may be charged with perjury or other crimes for intentional omissions and misrepresentations pursuant to Colorado law or for offering a false instrument for recording pursuant to 18-5-114. I further consent to any background investigation necessary to determine my present and continuing suitability and that this consent continues as long as I hold a Colorado Medical Marijuana license, and for 90 days following the expiration or surrender of such Medical Marijuana license. Note: If your check is rejected due to insufficient or uncollected funds, the Department of Revenue may collect the payment amount directly from your banking account electronically.

Print your Full Legal Name clearly below: Legal Last Name (Please Print)

Signature

Legal First Name

Legal Middle Name

Date

Page 9 of 13

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305

Investigation Authorization Authorization to Release Information I, ____________________________________________________, hereby authorize the Colorado Medical Marijuana Licensing Authority, the Medical Marijuana Enforcement Division, (hereafter, the Investigatory Agencies) to conduct a complete investigation into my personal background, using whatever legal means they deem appropriate. I hereby authorize any person or entity contacted by the Investigatory Agencies to provide any and all such information deemed necessary by the Investigatory Agencies. I hereby waive any rights of confidentiality in this regard. I understand that by signing this authorization, a financial record check may be performed. I authorize any financial institution to surrender to the Investigatory Agencies a complete and accurate record of such transactions that may have occurred with that institution, including, but not limited to, internal banking memoranda, past and present loan applications, financial statements and any other documents relating to my personal or business financial records in whatever form and wherever located. I understand that by signing this authorization, a financial record check of my tax filing and tax obligation status may be performed. I authorize the Colorado Department of Revenue to surrender to the Investigatory Agencies a complete and accurate record of any and all tax information or records relating to me. I authorize the Investigatory Agencies to obtain, receive, review, copy, discuss and use any such tax information or documents relating to me. I authorize the release of this type of information, even though such information may be designated as “confidential” or “nonpublic” under the provisions of state or federal laws. I understand that by signing this authorization, a criminal history check will be performed. I authorize the Investigatory Agencies to obtain and use from any source, any information concerning me contained in any type of criminal history record files, wherever located. I understand that the criminal history record files contain records of arrests which may have resulted in a disposition other than a finding of guilt (i.e., dismissed charges, or charges that resulted in a not guilty finding). I understand that the information may contain listings of charges that resulted in suspended imposition of sentence, even though I successfully completed the conditions of said sentence and was discharged pursuant to law. I authorize the release of this type of information, even though this record may be designated as “confidential” or “nonpublic” under the provisions of state or federal laws. The Investigatory Agencies reserve the right to investigate all relevant information and facts to their satisfaction. I understand that the Investigatory Agencies may conduct a complete and comprehensive investigation to determine the accuracy of all information gathered. However, the State of Colorado, Investigatory Agencies, and other agents or employees of the State of Colorado shall not be held liable for the receipt, use, or dissemination of inaccurate information. I, on behalf of the applicant, its legal representatives, and assigns, hereby release, waive, discharge, and agree to hold harmless, and otherwise waive liability as to the State of Colorado, Investigatory Agencies, and other agents or employees of the State of Colorado for any damages resulting from any use, disclosure, or publication in any manner, other than a willfully unlawful disclosure or publication, of any material or information acquired during inquiries, investigations, or hearings, and hereby authorize the lawful use, disclosure, or publication of this material or information. Any information contained within my application, contained within any financial or personnel record, or otherwise found, obtained, or maintained by the Investigatory Agencies, shall be accessible to law enforcement agents of this or any other state, the government of the United States, or any foreign country. Print your Full Legal Name clearly below: Legal Last Name (Please Print)

Legal First Name

Legal Middle Name

Signature (Must be signed in front of two witnesses)

Dated this ____________ day of ____________________________________________, 20_________, at ___________________________ (day)

(month)

(year)

(time)

_______________________________________________________________________________, _________________________________ (city)

(state)

Witness Signature

Page 10 of 13

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306

Applicant's Request to Release Information TO:________________________________________________________________________________________________________________ FROM: (Applicant’s Printed Name)_______________________________________________________________________________________ 1.I/We hereby authorize and request all persons to whom this request is presented having information relating to or concerning the above named applicant to furnish such information to a duly appointed agent of the Medical Marijuana Enforcement Division whether or not such information would otherwise be protected from the disclosure by any constitutional, statutory or common law privilege. 2.I/We hereby authorize and request all persons to whom this request is presented having documents relating to or concerning the above named applicant to permit a duly appointed agent of the Medical Marijuana Enforcement Division to review and copy any such documents, whether or not such documents would otherwise be protected from disclosure by any constitutional, statutory, or common law privilege. 3.I/We hereby authorize and request the Colorado Department of Revenue to permit a duly appointed agent of the Medical Marijuana Enforcement Division to obtain, receive, review, copy, discuss and use any such tax information or documents relating to or concerning the above named applicant, whether or not such information or documents would otherwise be protected from disclosure by any constitutional, statutory, or common law privilege. 4.If the person to whom this request is presented is a brokerage firm, bank, savings and loan, or other financial institution or an officer of the same, I/we hereby authorize and request that a duly appointed agent of the Medical Marijuana Enforcement Division be permitted to review and obtain copies of any and all documents, records or correspondence pertaining to me/us, including but no limited to past loan information, notes co-signed by me/us, checking account records, savings deposit records, safe deposit box records, passbook records, and general ledger folio sheets. 5.I/We do hereby make, constitute, and appoint any duly appointed agent of the Colorado Medical Marijuana Enforcement Division, my/our true and lawful attorney in fact for me/us in my/our name, place, stead, and on my/our behalf and for my/our use and benefit: (a) To request, review, copy sign for, or otherwise act for investigative purposes with respect to documents and information in the possession of the person to whom this request is presented as I/we might; (b) To name the person or entity to whom this request is presented and insert that person’s name in the appropriate location in this request: (c) To place the name of the agent presenting this request in the appropriate location on this request. 6.I grant to said attorney in fact full power and authority to do, take, and perform all and every act and thing whatsoever requisite, proper, or necessary to be done, in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as I/we might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that said attorney in fact, or his substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. 7.This power of attorney ends twenty-four (24) months from the date of execution. 8.The above named applicant has filed with the Colorado Medical Marijuana Licensing Authority an application for a Medical Marijuana license. Said applicant understands that it is seeking the granting of a privilege and acknowledges that the burden of proving its qualifications for a favorable determination is at all times on the applicant. Said applicant accepts any risk of adverse public notice, embarrassment, criticism, or other action of financial loss, which may result from action with respect to this application. 9.I/We do, for myself/ourselves, my/our heirs, executors, administrators, successors, and assigns, hereby release, remise, and forever discharge the person to whom this request is presented, and his agents and employees from all and all manner or actions, causes of action, suits, debts, judgments, executions, claims, and demands whatsoever, known or unknown, in law or equity, which the applicant ever had, now has, may have, or claims to have against the person to whom this request is being presented or his agents or employees arising out of or by reason of complying with the request. 10.I/We agree to indemnify and hold harmless the person to whom this request is presented and his agents and employees from and against all claims, damages, losses, and expenses, including reasonable attorneys’ fees arising out of or by reason of complying with this request. 11.A reproduction of this request by photocopying or similar process shall be for all intents and purposes as valid as the original. Applicant's Last Name (Please Print)

First Name

Middle Name

Signature (Must be signed in front of two witnesses)

Dated this ____________ day of ____________________________________________, 20_________, at ___________________________ (day)

(month)

(year)

(time)

_______________________________________________________________________________, _________________________________ (city)

(state)

Witness 1 Signature

Witness 2 Signature

Spouse's Last Name (Please Print)

Spouse's First Name

Middle Name

Spouse's Signature (Must be signed in front of two witnesses)

Dated this ____________ day of ____________________________________________, 20_________, at ___________________________ (day)

(month)

(year)

(time)

_______________________________________________________________________________, _________________________________ (city)

Witness 1 Signature

(state)

Witness 2 Signature

Signature of Medical Marijuana Enforcement Division agent presenting this request

Date

Page 11 of 13

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307

Colorado Medical Marijuana Enforcement Division

Authorization for Disclosure for Internal Revenue Service Print your Full Legal Name clearly below: Legal Last Name (Please Print)

Legal First Name

Social Security Number

Legal Middle Name

Phone Number

Physical Address Address

City

State

ZIP

City

State

ZIP

Mailing Address (if different from Physical Address) Address

Name and Social Security Number of Person(s) You Have Filed a Joint Tax Return With in the Past 5 Years Last Name (Please Print)

First Name

Middle Name

Social Security Number

Last Name (Please Print)

First Name

Middle Name

Social Security Number

Last Name (Please Print)

First Name

Middle Name

Social Security Number

Type of Return

Form 1040, Individual Income Tax

Taxable Periods

2008, 2009, 2010, 2011 and 2012

I authorize the Internal Revenue Service to disclose tax return information (including, but not limited to, fact of filing, fact of payment, terms of installment agreement) regarding the above returns to the Medical Marijuana Enforcement Division, Colorado Department of Revenue. Signature

Date

Medical Marijuana Enforcement Division USE ONLY Date Received

Initials

Faxed Out Time

Fax Reply Received

Mailed In Date

Page 12 of 13

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Dear Applicant: Thank you for your interest in becoming a key employee in the Medical Marijuana industry. Before you submit your application, we want to make you aware of a few facts. The Medical Marijuana industry in Colorado is one of the most scrutinized businesses in the state, because Colorado citizens want the industry and everyone involved in it free from even the hint of any corruption or deceit. That’s why we take our regulation of the industry very seriously, including the issuance of licenses. During the licensing process, we will conduct a thorough check of your background. If you pass our qualifications, you will be found suitable as a key license holder that will allow you to work in the Medical Marijuana Industry. You should know that a Medical Marijuana license is a privilege, not a right. And one thing you must do to obtain this privilege is be completely honest on your license application. In particular, we ask you on page 3 of the application: “Have you, after turning 18 years of age, ever been arrested, served a criminal summons, charged with, or convicted of ANY crime regarding the possession, distribution, or use of a controlled substance? In the past 10 years, but not prior to age 18 have you been arrested, served with a criminal summons, charged with, or convicted of ANY crime or offense in any manner in this or any other country?” The application goes on to tell you to explain ALL such arrests or charges no matter the final outcome. Did you list ALL arrests and charges required on page 4 of 13? This includes ALL drug-related offences since you turned 18 and ANY other offences in the last 10 years. Are you clear about what you need to disclose? If not, then ask someone at the front desk to assist you and answer any questions you might have. Here are some of the excuses we have heard from people who have failed to disclose arrests to us: • • • •

My attorney told me I didn’t have to disclose. I didn’t think I was arrested, because I only got a ticket. I didn’t think the arrest had anything to do with Medical Marijuana. I didn’t think that was still on my record.

But there is no excuse not to disclose an arrest. You have been informed throughout the application to disclose ALL arrests. And you have just been informed again: You will not necessarily be denied a license if you have ever been arrested, but you will be denied if you fail to disclose any arrest.

I have read and understand this letter. Signed _______________________________________________________ Date ______________________

DR 8522B (02/15/11) Page 13 of 13

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COLORADO MEDICAL MARIJUANA VENDOR REGISTRATION APPLICATION

Medical Marijuana Enforcement Division DR 8533 (06/20/11)

122

Colorado Medical Marijuana Enforcement Division

310

Business License Application Instructions

APPLICATION CHECKLIST

1

Application Fully Completed Type or clearly print an answer to every question. If a question does not apply to you, indicate so with an N/A. If you are unsure if a question applies to you or what information the form is asking you to provide, contact any Medical Marijuana Enforcement Division office to seek clarification. If the available space is insufficient, continue on a separate sheet and precede each answer with the appropriate title.

2

All Forms Signed & Attached The following accompanying forms must be signed and returned with the application: Affirmation & Consent Investigation Authorization/Authorization to Release Information Applicant’s Request to Release Information (leave top two lines of form blank) IRS Form 8821

3

All Requested Information Attached The following information requested on the application must be attached, if applicable: Trade Name Registration Certificate of Authority from the Colorado Secretary of State’s Office Certified Copy of Articles of Incorporation, including amendments Articles of Organization, including amendments Partnership Agreement, including amendments NOTE: The Medical Marijuana Enforcement Division reserves the right to request additional information and documentation throughout the course of the background investigation.

4

Applications For Associated Persons Attached Submit the following: (1) Key License Application Form (DR8526) for one person to be associated with the business. This person will be the one responsible for the employees under it's employment and will act on behalf of the company.

5

Bring in Application: EXACT CHANGE ONLY Bring in application and license fee of $250.00 (cash or check only) to: Medical Marijuana Enforcement Division 455 Sherman Street, Suite 390, Denver CO 80203

123

311

Colorado Medical Marijuana Licensing Authority

DR 8533 (06/20/11) COLORADO DEPARTMENT OF REVENUE MEDICAL MARIJUANA ENFORCEMENT DIVISION

Vendor Registration Application

License Type & Fee

Business Type (What service you provide)

Vendor Registration Application - $250 license fee Applicant's Business Name (Please Print)

Medical Marijuana License Number (Assigned by Division)

Trade Name (DBA) (Provide Trade Name Registration)

Website Address

Physical Address Street Address of Business

City

Business Phone Number

Home Phone Number

(

(

)

Mailing Address (if different from Business Address) Address

State

ZIP

Email Address

) City

State

ZIP

On a separate sheet, list all principal places of business for the past 10 years if different from above. Primary Contact Person for Business Title Primary Contact Phone Number Primary Contact Address (city, state ZIP) Federal Taxpayer ID

(

)

(

)

Primary Contact Fax Number Colorado Sales Tax License #

Email Address

Type of Business Structure Sole Proprietorship

Partnership

Limited Partnership

Limited Liability Company

C Corporation

S Corporation

Publicly Traded Corporation

Trust

State of Incorporation or Creation of Business Entity

Other ______________________

Date

Date of Qualification to Conduct Business in colorado (Provide Certificate of Authority from the Colorado Secretary of State's Office) If a Corporation, List all States Where the Corporation is Authorized to Conduct Business List all Trade Names used by the Business Entity (other than above) Attach certified copies of all articles of incorporation, bylaws, articles of organization, or a true copy of any partnership or trust agreement, including any and all amendments to such.

FOR DEPARTMENT OF REVENUE USE ONLY - DO NOT WRITE IN THIS SPACE Liability Information County

City

Industry Type

License Account Number

Liability Date

License Issued Through (Expiration Date)

FROM

State

Cash Fund New License

City

County

TO

Managers Reg

Cash Fund Transfer License

$

TOTAL

•

Page 1 of 6

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312

Applicant’s Printed Trade Name (DBA)

1. Is the applicant (including any of the partners, if a partnership; members or manager if a limited liability company; or officers, stockholders or directors if a corporation) or manager under the age of twenty-one years?

Yes No

2. Has the applicant (including any of the partners, if a partnership; members or manager if a limited liability company; or officers, stockholders or directors if a corporation) or manager ever (in Colorado or any other state); (a) been denied a privileged license (ie: Liquor, Gaming, Racing and Medical Marijuana)? ................................................................................ (b) had a privileged license (ie: Liquor, Gaming, Racing and Medical Marijuana) suspended or revoked? ......................................................... (c) had interest in another entity that had a privileged (ie: Liquor, Gaming, Racing and Medical Marijuana) license denied, suspended or revoked? ........................................................................................................................................................................... If you answered yes to 2a, b or c, explain in detail on a separate sheet. OWNERSHIP STRUCTURE List all persons and/or entities with any ownership interest, and all officers and directors, whether they have ownership interest or not. If an entity (corporation, partnership, LLC, etc.) has interest, list all persons associated with such entity, their ownership in the entity, and their effective ownership in the license. List all parent, holding or other intermediary business interest. Name

Title

SSN/FEIN

DOB

App submitted? Yes

Address

City

Business Associated with (Parent business or sub-entity)

State

ZIP

Phone Number

(

Own. % Business Associated with

Name

Title

Address

City

SSN/FEIN

)

Effective Own. % in Applicant DOB

App submitted? Yes

Business Associated with (Parent business or sub-entity)

State

ZIP

Title

Address

City

SSN/FEIN

(

)

Effective Own. % in Applicant DOB

App submitted? Yes

Business Associated with (Parent business or sub-entity) Name

State

ZIP

SSN/FEIN

(

)

Effective Own. % in Applicant DOB

App submitted? Yes

Address

City

Business Associated with (Parent business or sub-entity) Name

State

ZIP

SSN/FEIN

(

)

Effective Own. % in Applicant DOB

App submitted? Yes

Address

City

Business Associated with (Parent business or sub-entity)

State

ZIP

Title

Address

City

SSN/FEIN

(

)

Effective Own. % in Applicant DOB

App submitted? Yes

Business Associated with (Parent business or sub-entity)

State

ZIP

Own. % Business Associated with

No

Phone Number

Own. % Business Associated with

Name

No

Phone Number

Own. % Business Associated with Title

No

Phone Number

Own. % Business Associated with Title

No

Phone Number

Own. % Business Associated with

Name

No

No

Phone Number

(

)

Effective Own. % in Applicant

Are there any outstanding options and warrants? Yes

No *If YES, attach list of persons with outstanding options and warrants

Page 2 of 6

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313

Applicant’s Printed Trade Name (DBA)

Licensing History Financial History 1.Is the applicant, the applicant’s parent company or any other intermediary business entity delinquent in the payment of any judgments or tax liabilities due to any governmental agency anywhere? If YES, provide details on a separate sheet and attach any documents to prove settlement or resolution of the delinquency. 2.Has the applicant, the applicant’s parent company or any other intermediary business entity filed a bankruptcy petition in the past 5 years, had such a petition filed against it, or had a receiver, fiscal agent, trustee, reorganization trustee or similar person appointed for it? If YES, provide details on a separate sheet and attach any documents from the bankruptcy court. 3.Is the applicant, the applicant’s parent company or any other intermediary business entity currently a party to, or has it ever been a party to, in any capacity, any business trust instrument? If YES, provide details on a separate sheet. 4.Has a complaint, judgment, consent decree, settlement or other disposition related to a violation of federal, state or similar foreign antitrust, trade or security law or regulation ever been filed or entered against the applicant, the applicant’s parent company or any other intermediary business entity? If YES, provide details on a separate sheet and attach any documents to prove the settlement of any of these issues. Include any items currently under formal dispute or legal appeal. 5.Has the applicant, the applicant’s parent company or any other intermediary business entity been a party to a lawsuit in the past 5 years, either as a plaintiff or defendant, complainant or respondent, or in any other fashion, in this or any other country? If YES, provide details on a separate sheet and attach any documents to prove the settlement of any of these issues. Include any items currently under formal dispute or legal appeal. Person who maintains Applicant's business records

Title

Address

Phone Number

Person who prepares Applicant's tax returns, government forms & reports

Title

Address

Phone Number

(

(

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

)

)

Location of financial books and records for Applicant's business

Page 3 of 6

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314

Affirmation & Consent I, _______________________________________, as an authorized agent for the applicant, state under penalty for offering a false instrument for recording pursuant to 18-5-114 C.R.S. that the entire Key License Application Form, statements, attachments, and supporting schedules are true and correct to the best of my knowledge and belief, and that this statement is executed with the knowledge that misrepresentation or failure to reveal information requested may be deemed sufficient cause for the refusal to issue a Medical Marijuana license by the State Licensing Authority. Further, I am aware that later discovery of an omission or misrepresentation made in the above statements may be grounds for the denial of a temporary Medical Marijuana application or the revocation of the license. I am voluntarily submitting this application to the Colorado Medical Marijuana Licensing Authority under oath with full knowledge that I may be charged with perjury or other crimes for intentional omissions and misrepresentations pursuant to Colorado law or for offering a false instrument for recording pursuant to 18-5-114 C.R.S. I further consent to any background investigation necessary to determine my present and continuing suitability and that this consent continues as long as I hold a Colorado Medical Marijuana License, and for 90 days following the expiration or surrender of such Medical Marijuana license. Note: If your check is rejected due to insufficient or uncollected funds, the Department of Revenue may collect the payment amount directly from your banking account electronically.

Print Full Legal Agent Name clearly below: Applicant's Business Name

Legal Agent Last Name (Please Print)

Signature

Trade Name (DBA)

Legal Agent First Name

Legal Agent Middle Name

Date

Page 4 of 6

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315

Investigation Authorization Authorization to Release Information I, ____________________________________________________, as an authorized agent for the applicant, hereby authorize the Colorado Medical Marijuana Licensing Authority, the Medical Marijuana Enforcement Division, (hereafter, the Investigatory Agencies) to conduct a complete investigation into my personal background, using whatever legal means they deem appropriate. I hereby authorize any person or entity contacted by the Investigatory Agencies to provide any and all such information deemed necessary by the Investigatory Agencies. I hereby waive any rights of confidentiality in this regard. I understand that by signing this authorization, a financial record check may be performed. I authorize any financial institution to surrender to the Investigatory Agencies a complete and accurate record of such transactions that may have occurred with that institution, including, but not limited to, internal banking memoranda, past and present loan applications, financial statements and any other documents relating to my personal or business financial records in whatever form and wherever located. I understand that by signing this authorization, a financial record check of my tax filing and tax obligation status may be performed. I authorize the Colorado Department of Revenue to surrender to the Investigatory Agencies a complete and accurate record of any and all tax information or records relating to me. I authorize the Investigatory Agencies to obtain, receive, review, copy, discuss and use any such tax information or documents relating to me. I authorize the release of this type of information, even though such information may be designated as “confidential” or “nonpublic” under the provisions of state or federal laws. I understand that by signing this authorization, a criminal history check will be performed. I authorize the Investigatory Agencies to obtain and use from any source, any information concerning me contained in any type of criminal history record files, wherever located. I understand that the criminal history record files contain records of arrests which may have resulted in a disposition other than a finding of guilt (i.e., dismissed charges, or charges that resulted in a not guilty finding). I understand that the information may contain listings of charges that resulted in suspended imposition of sentence, even though I successfully completed the conditions of said sentence and was discharged pursuant to law. I authorize the release of this type of information, even though this record may be designated as “confidential” or “nonpublic” under the provisions of state or federal laws. The Investigatory Agencies reserve the right to investigate all relevant information and facts to their satisfaction. I understand that the Investigatory Agencies may conduct a complete and comprehensive investigation to determine the accuracy of all information gathered. However, the State of Colorado, Investigatory Agencies, and other agents or employees of the State of Colorado shall not be held liable for the receipt, use, or dissemination of inaccurate information. I, on behalf of the applicant, its legal representatives, and assigns, hereby release, waive, discharge, and agree to hold harmless, and otherwise waive liability as to the State of Colorado, Investigatory Agencies, and other agents or employees of the State of Colorado for any damages resulting from any use, disclosure, or publication in any manner, other than a willfully unlawful disclosure or publication, of any material or information acquired during inquiries, investigations, or hearings, and hereby authorize the lawful use, disclosure, or publication of this material or information. Any information contained within my application, contained within any financial or personnel record, or otherwise found, obtained, or maintained by the Investigatory Agencies, shall be accessible to law enforcement agents of this or any other state, the government of the United States, or any foreign country. Print Full Legal Name of Authorized Agent clearly below: Applicant's Business Name

Trade Name (DBA)

Legal Agent Last Name (Please Print)

Legal Agent First Name

Legal Agent Title

Legal Agent Middle Name

Signature (Must be signed in front of two witnesses)

Dated this ____________ day of ____________________________________________, 20_________, at ___________________________ (day)

(month)

(year)

(time)

_______________________________________________________________________________, _________________________________ (city)

Witness 1 Signature

(state)

Witness 2 Signature

Page 5 of 6

128

316

Applicant's Request to Release Information TO:________________________________________________________________________________________________________________ FROM: (Applicant’s Printed Name)_______________________________________________________________________________________ 1.I/We hereby authorize and request all persons to whom this request is presented having information relating to or concerning the above named applicant to furnish such information to a duly appointed agent of the Medical Marijuana Enforcement Division whether or not such information would otherwise be protected from the disclosure by any constitutional, statutory or common law privilege. 2.I/We hereby authorize and request all persons to whom this request is presented having documents relating to or concerning the above named applicant to permit a duly appointed agent of the Medical Marijuana Enforcement Division to review and copy any such documents, whether or not such documents would otherwise be protected from disclosure by any constitutional, statutory, or common law privilege. 3.I/We hereby authorize and request the Colorado Department of Revenue to permit a duly appointed agent of the Medical Marijuana Enforcement Division to obtain, receive, review, copy, discuss and use any such tax information or documents relating to or concerning the above named applicant, whether or not such information or documents would otherwise be protected from disclosure by any constitutional, statutory, or common law privilege. 4.If the person to whom this request is presented is a brokerage firm, bank, savings and loan, or other financial institution or an officer of the same, I/we hereby authorize and request that a duly appointed agent of the Medical Marijuana Enforcement Division be permitted to review and obtain copies of any and all documents, records or correspondence pertaining to me/us, including but no limited to past loan information, notes co-signed by me/us, checking account records, savings deposit records, safe deposit box records, passbook records, and general ledger folio sheets. 5.I/We do hereby make, constitute, and appoint any duly appointed agent of the Colorado Medical Marijuana Enforcement Division, my/our true and lawful attorney in fact for me/us in my/our name, place, stead, and on my/our behalf and for my/our use and benefit: (a) To request, review, copy sign for, or otherwise act for investigative purposes with respect to documents and information in the possession of the person to whom this request is presented as I/we might; (b) To name the person or entity to whom this request is presented and insert that person’s name in the appropriate location in this request: (c) To place the name of the agent presenting this request in the appropriate location on this request. 6.I grant to said attorney in fact full power and authority to do, take, and perform all and every act and thing whatsoever requisite, proper, or necessary to be done, in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as I/we might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that said attorney in fact, or his substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. 7.This power of attorney ends twenty-four (24) months from the date of execution. 8.The above named applicant has filed with the Colorado Medical Marijuana Licensing Authority an application for a Medical Marijuana license. Said applicant understands that it is seeking the granting of a privilege and acknowledges that the burden of proving its qualifications for a favorable determination is at all times on the applicant. Said applicant accepts any risk of adverse public notice, embarrassment, criticism, or other action of financial loss, which may result from action with respect to this application. 9.I/We do, for myself/ourselves, my/our heirs, executors, administrators, successors, and assigns, hereby release, remise, and forever discharge the person to whom this request is presented, and his agents and employees from all and all manner or actions, causes of action, suits, debts, judgments, executions, claims, and demands whatsoever, known or unknown, in law or equity, which the applicant ever had, now has, may have, or claims to have against the person to whom this request is being presented or his agents or employees arising out of or by reason of complying with the request. 10.I/We agree to indemnify and hold harmless the person to whom this request is presented and his agents and employees from and against all claims, damages, losses, and expenses, including reasonable attorneys’ fees arising out of or by reason of complying with this request. 11.A reproduction of this request by photocopying or similar process shall be for all intents and purposes as valid as the original. Print Full Legal Name of Authorized Agent clearly below: Legal Agent Last Name (Please Print)

Legal Agent First Name

Legal Agent Title

Legal Agent Middle Name

Signature (Must be signed in front of two witnesses)

Dated this ____________ day of ____________________________________________, 20_________, at ___________________________ (day)

(month)

(year)

(time)

_______________________________________________________________________________, _________________________________ (city)

Witness 1 Signature

(state)

Witness 2 Signature

Signature of Medical Marijuana Enforcement Division agent presenting this request

Date

Page 6 of 6

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COLORADO SUPPORT EMPLOYEE MEDICAL MARIJUANA LICENSE APPLICATION

Medical Marijuana Enforcement Division DR 8525 (02/15/11)

130

DR 8525 (05/16/11)

318

Colorado Medical Marijuana Enforcement Division Support Employee Application Instructions

APPLICATION CHECKLIST

1

Application Completed & Signed Type or clearly print an answer to every question. If a question does not apply to you, indicate so with icient, continue on a separate sheet and precede each answer with the appropriate title. Sign and date the application. Notice: You are required by state law to provide your social security number. If you do not have a social security number, you must complete a sworn statement (available at any Medical Marijuana Enforcement Division office) stating you do not have a social security number.

2

All Forms Signed and Attached The following accompanying forms must be signed and returned with the application: Affirmation and Consent Investigation Authorization/Authorization to Release Information Authorization For Disclosure For Internal Revenue Service Letter from the Director

3

Proof of Identity Under Colorado law, you must provide one of the forms of identification listed according to the application.

4

Application Fee Submit $75 NON-REFUNDABLE application fee for a two-year license. Cash, check, or money order accepted. Make check or money order payable to: Colorado Medical Marijuana Enforcement Division (MMED) - EXACT CHANGE ONLY

5

Bring in Application (BY APPOINTMENT ONLY) Bring in application and all attachments to: Medical Marijuana Enforcement Division 455 Sherman Street, Suite 390, Denver CO 80203

131

319 Medical Marijuana License Number (Leave Blank)

DR 8525 (02/15/11) COLORADO DEPARTMENT OF REVENUE MEDICAL MARIJUANA ENFORCEMENT DIVISION

Support License Application Form Applicant's Last Name (Please Print)

First Name (Please Print) Nicknames, Ailases, Etc. Used (Full Name)

Maiden/Married Names Used (Full Name) (Attach separate sheet if necessary)

Sex

Race

M

(Attach separate sheet if necessary)

Date of Birth

Social SecurityNumber

Other Social Security Numbers Used

F

Yes

Place of Birth: City

State Height

Physical Appearance No

Country

Weight

No

Hair Color

Eye Color

Yes

No

*If "No", include details here: (Attach separate sheet if necessary)

Physical Address Address

City

Length of time at this Address: Year(s) Month(s)

Scars/Tattoos

Date of Residency

Cell Phone Number

(

(

)

If yes explain on a separate sheet

No

Alien Registration Number

County

Home Phone Number

Mailing Address (if different from Physical Address) Address

If yes attach details.

Drivers License Number and State

Yes

CO Resident

U.S. Citizen Yes

Middle Name

State

ZIP

Email Address

)

City

State

ZIP

List all addresses where you have lived during the last 5 years, not including present address, (attach separate sheet if necessary) Street and Number

City/State/ZIP

From

Name of licensed Medical Marijuana business where you will be working Work Phone Number Name of present employer, if different from above

(

)

(

)

Work Phone Number

To

Job Title Occupation or Job Title

Do you currently possess a Colorado support Medical Marijuana license or are you an associated person in any other type of Colorado Medical Marijuana license? Yes No *If "Yes", indicate license type and number here: ____________________________________________________________ Have you ever applied before for a Medical Marijuana license in this or any other jurisdiction, domestic or foreign, whether or not the license was ever issued? Yes No *If "Yes", explain here: _________________________________________________________________________________ Have you ever been denied a Medical Marijuana license, withdrawn a Medical Marijuana license application or had any disciplinary action taken against any Medical Marijuana license that you have held, either individually or as part of an ownership group, in this or any other jurisdiction? Yes No Applicant's Signature

*If "Yes", explain here: _________________________________________________________________________________ Date

Page 1 of 10

132

Applicant's Last Name (Please Print)

320 Middle Name

First Name (Please Print)

NOTICE: The Support Application Form is an official document. If you provide false information on your Medical Marijuana license application and/or do not disclose all information the application asks, your license is subject to denial or revocation, and you may be subject to criminal prosecution. The Medical Marijuana Enforcement Division will conduct a complete background investigation and will check all sources of information. You are advised that it is better to disclose all information than face denial, revocation or criminal prosecution. If you need clarification of any of the following questions, please contact the Investigations Section at any Medical Marijuana Enforcement Division office. 1.

Have you ever been convicted of a felony at anytime regarding the possession, distribution, or use of a controlled substance?

Yes

No

2.

Have you served a sentence, including probation or parole, within the past 5 years upon conviction for any felony, even if the conviction occurred more than 5 years ago?

Yes

No

3.

Are you a licensed Physician making patient recommendations?

Yes

No

4.

Have you had your authority to act as a primary caregiver revoked by the State Health Agency?

Yes

No

5

Are you under 21 years of age at the time of this application?

Yes

No

6.

Are you the spouse or child living in the household of any person employed by the Colorado Medical Marijuana Enforcement Division?

Yes

No

7.

Are you a sheriff, deputy sheriff, police officer, or prosecuting officer, or an officer or employee of the medical marijuana state licensing authority or a local licensing authority?

Yes

No

If you answered YES to any of the above questions, by Colorado law you cannot obtain or hold a Colorado Medical Marijuana license. I have thoroughly read and understand the questions above, and understand that I cannot hold a Colorado Medical Marijuana license if at any time in the future I can ever answer “Yes” to any of the questions above. Applicant's Signature

Date

Page 2 of 10

133

Applicant's Last Name (Please Print)

321 Middle Name

First Name

Financial History 1.

Are you delinquent in the filing of any tax return with any taxing agency anywhere?

Yes

No

2.

Are you delinquent in the payment of any taxes, interest, or penalties due to any taxing agency anywhere?

Yes

No

3.

Are you delinquent in the payment of any judgments due to any governmental agency anywhere?

Yes

No

4.

Are you delinquent in the repayment of any government-insured student loans?

Yes

No

5.

Are you delinquent in the payment of any child support?

Yes

No

*If you answered YES to any of the questions above, give details on separate sheet. Attach any documents to prove your settlement on any of these issues. You must resolve any governmental deliquencies prior to being issued a Colorado medical marijuana occupational license.

Criminal History 1. Have you, after turning 18 years of age, ever been arrested, served a criminal summons, charged with, or convicted of ANY crime regarding the possession, distribution, or use of a controlled substance?.

Yes

No

2. In the last 10 years have you ever been arrested, served with a criminal summons, charged with, or convicted of ANY non-drug or non-narcotic related crime or offense in any manner in this or any other country? • You must include ALL arrests, charges, and convictions in the last 10 years, but not prior to the age of 18, regardless of the outcome, even if the charges were dismissed or you were found not guilty. • You must include ALL arrests, charges, and convictions regardless of the class of crime (felonies, misdemeanors, and/or petty offenses). • You must include ALL serious traffic offenses, including DUI; DWAI; reckless driving; leaving the scene of an accident (hit and run); driving under denial, suspension or revocation; or any other offense which resulted in your being taken into custody. • NOTICE: Do not rely upon your understanding that an arrest or charge is “not supposed to be on your record.” A criminal record was not cleared, erased, sealed or expunged unless you were given, and have in your possession, a written order from a judge directing that action.

Yes

No

*If you answered YES, explain in detail on the sheet provided. For each offense for which you were arrested or charged, YOU MUST OBTAIN OFFICIAL DOCUMENTATION FROM THE COURT WHERE YOU APPEARED, SHOWING THE FINAL DISPOSITION (OUTCOME) OF YOUR CASE. This information will include whether you were found guilty or not guilty; and the penalty (money fine, time in jail or prison, or probation or deferred sentence). If you received a deferred judgment, a deferred sentence, or probation, your documentation must include the date that you were discharged or released from probation or other supervision. 3. Have you ever received a pardon or its equivalent for any criminal offense in this or any other country?

Yes

No

4. Have you, as an individual, as a member of a partnership or other form of domestic or foreign business entity, or as owner, director, or officer of a corporation, ever been a party to a lawsuit (other than divorces), either as a plaintiff or defendant, complainant or respondent, or in any other fashion, in this or any other country?

Yes

No

*If you answered YES to any of the preceding questions, explain in detail on a separate sheet and attach it to your application.

Applicant's Initials

Page 3 of 10

134

Applicant's Last Name (Please Print)

322 Middle Name

First Name

DR 8521 (07/06/10) COLORADO DEPARTMENT OF REVENUE MEDICAL MARIJUANA ENFORCEMENT DIVISION

ARREST DISCLOSURE FORM

If, since turning age 18, you have ever been arrested, served a criminal summons, charged with, or convicted of ANY crime regarding the possession, distribution or use of a controlled substance, you must disclose this information to the Medical Marijuana Enforcement Division. If you have been arrested in the past 10 years, given a summons, or been convicted of any non-narcotic offense, you must disclose this information to the Medical Marijuana Enforcement Division. Any person licensed by the Medical Marijuana Enforcement Division, must make written notification to the Division’s office of any criminal conviction and/or criminal charge pending against such person within 10 days of such arrest, summons, or conviction. This includes: • • • • • •

Being taken into custody for any offense, including traffic offenses Being issued a summons or citation for any offense except for minor traffic offenses Failing to comply with your sentencing requirements Failing to appear for a court proceeding and having a bench warrant issued Having your driver’s license suspended or revoked Being alleged to have driven under the influence or impairment of intoxicating liquor or drugs

Failure to disclose an arrest or citation may result in disciplinary action, up to and including the denial of your license application. Please List Each Offense Separately

1

Date of Offense

Place of Offense

Arresting Agency Original Charge Disposition Narrative — Must also provide official documentation (except for minor traffic offense).

2

Date of Offense

Place of Offense

Arresting Agency Original Charge Disposition Narrative — Must also provide official documentation (except for minor traffic offense).

Printed Name Signature

MMED License Number (not Patient ID #) Date

Page 4 of 10

135

Applicant's Last Name (Please Print)

323 Middle Name

First Name

DR 8521 (07/01/10) COLORADO DEPARTMENT OF REVENUE MEDICAL MARIJUANA ENFORCEMENT DIVISION

ARREST DISCLOSURE FORM (Continued)

Please List Each Offense Separately

3

Date of Offense

Place of Offense

Arresting Agency Original Charge Disposition Narrative — Must also provide official documentation (except for minor traffic offense).

4

Date of Offense

Place of Offense

Arresting Agency Original Charge Disposition Narrative — Must also provide official documentation (except for minor traffic offense).

Printed Name Signature

MMED License Number (not Patient ID#) Date

Page 5 of 10

136

324 DR 4679 (09/21/06) COLORADO DEPARTMENT OF REVENUE

AFFIDAVIT - RESTRICTIONS ON PUBLIC BENEFITS

I, ______________________________________________________________ , swear or affirm under penalty of perjury under the laws of the State of Colorado that (check one):

I am a United States citizen. I am not a United States citizen but I am a Permanent Resident of the United States. I am not a United States citizen but I am lawfully present in the United States pursuant to Federal law. I am a foreign national not physically present in the United States.

I understand that this sworn statement is required by law because I have applied for a public benefit. I understand that state law requires me to provide proof that I am lawfully present in the United States prior to receipt of this public benefit. I further acknowledge that making a false, fictitious, or fraudulent statement or representation in this sworn affidavit is punishable under the criminal laws of Colorado as perjury in the second degree under Colorado Revised Statute 18-8-503 and it shall constitute a separate criminal offense each time a public benefit is fraudulently received. Signature

Date

Page 6 of 10

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Affirmation & Consent

I, _______________________________________, state under Penalty for offering a false instrument for recording pursuant to 18-5-114 C.R.S. that the entire Support License Application Form, statements, attachments, and supporting schedules are true and correct to the best of my knowledge and belief, and that this statement is executed with the knowledge that misrepresentation or failure to reveal information requested may be deemed sufficient cause for the refusal to issue a Medical Marijuana license by the State Licensing Authority. Further, I am aware that later discovery of an omission or misrepresentation made in the above statements may be grounds for the denial of a temporary Medical Marijuana application or the revocation of the license. I am voluntarily submitting this application to the Colorado Medical Marijuana Licensing Authority under oath with full knowledge that I may be charged with perjury or other crimes for intentional omissions and misrepresentations pursuant to Colorado law or for offering a false instrument for recording pursuant to 18-5-114. I further consent to any background investigation necessary to determine my present and continuing suitability and that this consent continues as long as I hold a Colorado Medical Marijuana license, and for 90 days following the expiration or surrender of such Medical Marijuana license. Note: If your check is rejected due to insufficient or uncollected funds, the Department of Revenue may collect the payment amount directly from your banking account electronically.

Print your Full Legal Name clearly below: Legal Last Name (Please Print)

Signature

Legal First Name

Legal Middle Name

Date

Page 7 of 10

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326

Investigation Authorization Authorization to Release Information I, ____________________________________________________, hereby authorize the Colorado Medical Marijuana Licensing Authority, the Medical Marijuana Enforcement Division, (hereafter, the Investigatory Agencies) to conduct a complete investigation into my personal background, using whatever legal means they deem appropriate. I hereby authorize any person or entity contacted by the Investigatory Agencies to provide any and all such information deemed necessary by the Investigatory Agencies. I hereby waive any rights of confidentiality in this regard. I understand that by signing this authorization, a financial record check may be performed. I authorize any financial institution to surrender to the Investigatory Agencies a complete and accurate record of such transactions that may have occurred with that institution, including, but not limited to, internal banking memoranda, past and present loan applications, financial statements and any other documents relating to my personal or business financial records in whatever form and wherever located. I understand that by signing this authorization, a financial record check of my tax filing and tax obligation status may be performed. I authorize the Colorado Department of Revenue to surrender to the Investigatory Agencies a complete and accurate record of any and all tax information or records relating to me. I authorize the Investigatory Agencies to obtain, receive, review, copy, discuss and use any such tax information or documents relating to me. I authorize the release of this type of information, even though such information may be designated as “confidential” or “nonpublic” under the provisions of state or federal laws. I understand that by signing this authorization, a criminal history check will be performed. I authorize the Investigatory Agencies to obtain and use from any source, any information concerning me contained in any type of criminal history record files, wherever located. I understand that the criminal history record files contain records of arrests which may have resulted in a disposition other than a finding of guilt (i.e., dismissed charges, or charges that resulted in a not guilty finding). I understand that the information may contain listings of charges that resulted in suspended imposition of sentence, even though I successfully completed the conditions of said sentence and was discharged pursuant to law. I authorize the release of this type of information, even though this record may be designated as “confidential” or “nonpublic” under the provisions of state or federal laws. The Investigatory Agencies reserve the right to investigate all relevant information and facts to their satisfaction. I understand that the Investigatory Agencies may conduct a complete and comprehensive investigation to determine the accuracy of all information gathered. However, the State of Colorado, Investigatory Agencies, and other agents or employees of the State of Colorado shall not be held liable for the receipt, use, or dissemination of inaccurate information. I, on behalf of the applicant, its legal representatives, and assigns, hereby release, waive, discharge, and agree to hold harmless, and otherwise waive liability as to the State of Colorado, Investigatory Agencies, and other agents or employees of the State of Colorado for any damages resulting from any use, disclosure, or publication in any manner, other than a willfully unlawful disclosure or publication, of any material or information acquired during inquiries, investigations, or hearings, and hereby authorize the lawful use, disclosure, or publication of this material or information. Any information contained within my application, contained within any financial or personnel record, or otherwise found, obtained, or maintained by the Investigatory Agencies, shall be accessible to law enforcement agents of this or any other state, the government of the United States, or any foreign country. Print your Full Legal Name clearly below: Legal Last Name (Please Print)

Legal First Name

Legal Middle Name

Signature (Must be signed in front of two witnesses)

Dated this ____________ day of ____________________________________________, 20_________, at ___________________________ (day)

(month)

(year)

(time)

_______________________________________________________________________________, _________________________________ (city)

(state)

Witness Signature

Page 8 of 10

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327

Colorado Medical Marijuana Enforcement Division

Authorization for Disclosure for Internal Revenue Service Print your Full Legal Name clearly below: Legal Last Name (Please Print)

Legal First Name

Social Security Number

Legal Middle Name

Phone Number

Physical Address Address

City

State

ZIP

City

State

ZIP

Mailing Address (if different from Physical Address) Address

Name and Social Security Number of Person(s) You Have Filed a Joint Tax Return With in the Past 5 Years Last Name (Please Print)

First Name

Middle Name

Social Security Number

Last Name (Please Print)

First Name

Middle Name

Social Security Number

Last Name (Please Print)

First Name

Middle Name

Social Security Number

Type of Return

Form 1040, Individual Income Tax

Taxable Periods

2008, 2009, 2010, 2011 and 2012

I authorize the Internal Revenue Service to disclose tax return information (including, but not limited to, fact of filing, fact of payment, terms of installment agreement) regarding the above returns to the Medical Marijuana Enforcement Division, Colorado Department of Revenue. Signature

Date

Medical Marijuana Enforcement Division USE ONLY Date Received

Initials

Faxed Out Time

Fax Reply Received

Mailed In Date

Page 9 of 10

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328

Dear Applicant: Thank you for your interest in becoming a licensed support employee in the Medical Marijuana industry. Before you submit your application, we want to make you aware of a few facts. The Medical Marijuana industry in Colorado is one of the most scrutinized businesses in the state, because Colorado citizens want the industry and everyone involved in it free from even the hint of any corruption or deceit. That’s why we take our regulation of the industry very seriously, including the issuance of licenses. During the licensing process, we will conduct a thorough check of your background. If you pass our qualifications, you will be found suitable as a support license holder that will allow you to work in the Medical Marijuana Industry. You should know that a Medical Marijuana license is a privilege, not a right. And one thing you must do to obtain this privilege is be completely honest on your license application. In particular, we ask you on page 3 of the application: “Have you, after turning 18 years of age, ever been arrested, served a criminal summons, charged with, or convicted of ANY crime regarding the possession, distribution, or use of a controlled substance? In the past 10 years, but not prior to age 18 have you been arrested, served with a criminal summons, charged with, or convicted of ANY crime or offense in any manner in this or any other country?” The application goes on to tell you to explain ALL such arrests or charges no matter the final outcome. Did you list ALL arrests and charges required on page 3 of 10? This includes ALL drug-related offences since you turned 18 and ANY other offences in the last 10 years. Are you clear about what you need to disclose? If not, then ask someone at the front desk to assist you and answer any questions you might have. Here are some of the excuses we have heard from people who have failed to disclose arrests to us: • • • •

My attorney told me I didn’t have to disclose. I didn’t think I was arrested, because I only got a ticket. I didn’t think the arrest had anything to do with Medical Marijuana. I didn’t think that was still on my record.

But there is no excuse not to disclose an arrest. You have been informed throughout the application to disclose ALL arrests. And you have just been informed again: You will not necessarily be denied a license if you have ever been arrested, but you will be denied if you fail to disclose any arrest.

I have read and understand this letter. Signed _______________________________________________________ Date ______________________

DR 8522A (02/15/11) Page 10 of 10

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329

Colorado Department of Revenue Medical Marijuana Enforcement Division

Forms Packet Revised August 1, 2011

142

330

This Packet contains information and revised forms to give Applicants guidance necessary for compliance to rules which are effective July 1, 2011. Additionally, we have provided documents that you may choose to use or you may use as an indication of what records or data you are expected to keep in order to be in compliance. You may already capture this information and can generate a report and therefore the use of the specific MMED form may not be necessary. This is a work in progress and any one of these forms may be modified in the future, so please ensure you are using the current version of the form by checking our web site – dates posted will be reflected next to the link to the form. Specifically, the form revisions include: additional instructions, removal of unnecessary information and clarification of required information. If you have already submitted the old version of the forms, you do not have to resubmit them, but please use the new forms going forward. All Center, Infused Product Manufactures and Cultivation businesses are required to submit two forms on a monthly basis: their employee list (form 1000) and patient list (form 1010). If your employees have not obtained their licenses prior to submittal of this list enter pending on the License Number column. The employee list and patient lists must be submitted to the MMED on a monthly basis thereafter. Please do not submit any personal data about patients; include only the fields shown on the forms. In addition, effective July 1, 2011, all centers must use the Medical Marijuana Transportation Manifest Form (form 1020), the Employee Status Change Form (form 1030), and the Patient Status Change Form (form 1040). See Form Matrix or individual forms for more detailed instructions. The past few weeks we have had two issues that have been legitimate problems for businesses trying to come into compliance and the MMED has determined to make accommodations which do not affect our regulation capabilities. Those accommodations are: Rule 10.400.B.3. Specific Standards, IP Camera Table Housing Rating) After consideration of concerns from the industry, an accommodation for Exterior Fixed Cameras to move from a Housing Rating of IP67 to an IP66 is allowed with the understanding that we may require the installation of a Heater and/or Blower on each camera affected, should the functionality be below our standards. Rule 10.400.B.4.g. The 9600 dpi requirement has been reinterpreted to read “The licensee must be able to immediately produce a clear color still photo from any camera image (live or recorded). Each facility shall have a minimum of one color printer that produces a high quality, recognizable image of video surveillance images As we have had before and will say again, we focused on building a fair, unambiguous and transparent regulatory system for the Colorado Medical Marijuana Industry and we appreciate your willingness to work with us as we all move forward together. Form may be faxed to 303-205-2398 or emailed to [email protected]. If you email the forms, please put the form name in the subject line. Manifest forms must be emailed separately from other forms.

MMED August 1, 2011

143

331

MMED investigators will soon begin visiting Medical Marijuana Centers (MMC’s), Optional Premise Cultivations (OPC’s) and Marijuana Infused Product (MIP’s) establishments to conduct inspections for licensing. Listed below is a list of some of the areas of concern that investigators will be focusing on. This list is not all-inclusive. All Medical Marijuana industry owners and employees are encouraged to become thoroughly familiar with all provisions of the statutes and rules promulgated by the State Licensing Authority. The rules promulgated by the state licensing authority go into effect on July 1, 2011. The MMED investigators will be conducting both announced and unannounced visits on establishments throughout Colorado.

 Limited Access Areas identified (proper signs posted)  Properly displayed license(s) (local & state-issued medical marijuana licenses and sale tax license(s) as well as any other required license(s)  All employees displaying proper MMED-issued credentials  MMED investigators will be making observations regarding on-premise use of cannabis by patients and/or employees  Security Alarm System, which is compliant with MMED rules  Commercial-grade, non-residential locks, which are compliant with MMED rules  Video surveillance of all required areas, including areas where marijuana is possessed, stored, grown, harvested, cultivated, cured, and sold; entrances and exits with logging, and limited access to equipment, compliant with MMED rules  List of all licensed employees  Diagram of licensed area  Proper record-keeping of patients and inventory related to patients (both plant count and finished product). Ability to demonstrate compliance with 70%-30% rule  Proper record-keeping of all sales (both to primary patients and other sales to nonprimary patients)  Employees conform to hygienic practices  Preparation areas; surfaces, utensils and equipment are adequately cleaned and kept clean  Inspection of cleaning compounds, sanitizing agents, pesticides and insecticides to ensure that no banned and / or hazardous chemicals are on the premise  Waste is stored and secured in a manner which is compliant with MMED rules  Waste that is rendered unusable should be grinded with non-consumable solid waste and disposed of, which is compliant with MMED rules  All product is properly labeled and identified for retail sales  Labeling standards from 7/1/11 rules must be met  Complete all sales between 8:00AM and 7:00PM (7:05PM is not acceptable)  Do not transport Medical Marijuana without a MMED approved Manifest in place

Additional information can be found at: http://www.colorado.gov/cs/Satellite/Rev-Enforcement/RE/1251575119584

144

145

332

Maintain

Maintain

Maintain

Wholesale 1080 Transaction Report

Transfers from OPC 1090 Report

1100 Patient Sales Report

Form Matrix

Maintain

Maintain

30% Compliance 1060 Report Transfers, Sales, 1070 Purchases Report

MMCs

MMCs, MIPs N/A

N/A

OPCs, MMCs, MIPs N/A

MMCs N/A OPCs, MMCs, MIPs N/A

OPCs, MMCs, MIPs N/A

Maintain

1050 Secure Facility Form

No

No

No

No

No

No

Within 72 hours of patient status change No

MMCs

Submit

Employee Status 1030 Change Form

No

No

24 hours OPCs, MMCs, before MM is MIPs transported Yes Within 10 business days OPCs, MMCs, of employee status change No MIPs

Patient Status Change 1040 Form Submit

Submit

Transportation 1020 Manifest Form

Monthly (see instructions)

Primary Center Patient 1010 List (Monthly) Submit MMCs

OPCs, MMCs, Monthly (see MIPs instructions)

Submit

Employee List 1000 (Monthly)

C.R.S. § 12-43.3901(4)(e), and MMED Rule 1.205.A.1

C.R.S. § 12-43.3310 (2) & (4)

MMD form rev 7/2011

Provide the required information when there is a change in patient status. This form must be submitted to the MMED within 72 hours of the change. Also update Form 1010 accordingly for submission by the fifth MMED Rule business day of the next month. 1.200 C.R.S. § 12.43.3202.2.x, MMED Rules 10.400.B.1.c & Maintain completed form and system lay-out for each business location. 10.400.B.1.g This report aggregates data from Forms 1010, 1070 and 1120 to show compliance with the 30% wholesale requirement and the two ounce limit per patient. Using 12-month averages, wholesales transactions as a percentage of inventory must be under 30% in order to be compliant. In addition, monthly average inventory C.R.S. § 12-43.3cannot exceed two ounces per patient. The 30% requirement applies only to MMCs and excludes live plants 402.4, MMED as part of average on-hand inventory. Rule 1.210 (A-E) This report aggregates data from Forms 1080, 1090 and 1100 and calculates monthly totals for transfers, C.R.S. § 12-43.3patient sales and wholesales transactions. 701 (1-3) Enter the weight (in grams) of wholesales transactions. For infused products, include only the weight of Medical Marijuana in the product. If the strain is unknown, leave blank. Exclude wholesale transactions of C.R.S. § 12-43.3live plants. The daily total is calculated and carried to form 1070. 701 (1-3) Enter the weight (in grams) of transfers. For infused products, include only the weight of Medical Marijuana in the product. If the strain is unknown, leave blank. Exclude transfers of live plants. The daily total is C.R.S. § 12-43.3calculated and carried to form 1070. 701 (1-3) Enter the weight (in grams) of patient sales. For infused products, include only the weight of Medical Marijuana in the product. If the strain is unknown, leave blank. Exclude sales of live plants. The daily total is C.R.S. § 12-43.3calculated and carried to form 1070. 701 (1-3)

C.R.S. § 12-43.3Provide the required information, submit the form to the MMED, and wait 24 hours for approved (stamped) 202(2)(a)(XI) copy to be returned to you. Drivers must use this exact form because law enforcement will expect to see this and MMED Rule exact form. See FAQs for more information. 11.200.D C.R.S. § 12-43.3Provide the required information when there is a change in employee status. This form must be submitted to 901.3.d, 12-43.3the MMED within 10 business days of the change. Also update Form 1000 accordingly for submission by the 310.3, 12-43.3fifth business day of the next month. 310.12

Provide the required information for all employees, including non-employee owners, that work at your facility. If an employee does not yet have a license number, put "Pending." The list is due by the fifth business day of the month and Licensees must report their employee list as of the last day of the prior month (the reporting month). For example, on Sept 5, Licensees are required to submit their employee list as of Aug 31. Licensees must submit the Employee Status Change Form (Form 1030), when required, within 10 business days to the MMED. Provide the required information for patients who have designated you as their Primary Center. Do NOT submit any additional patient information. For patients who do not have a license number yet, put "Pending." If a patient is authorized for more than 6 plants, maintain, but do not submit, supporting documentation for additional plants. The list is due by the fifth business day of the month and Licensees must report their patient list as of the last day of the prior month (the reporting month). For example, by Sept 5, Licensees are required to submit their patient list as of Aug 31. Licensees must submit the Patient Status Change Form (Form 1040), when required, within 72 hours to the MMED.

INSTRUCTIONS: Required forms must be faxed (303-205-2398) or emailed to [email protected]. If you email the forms, please put the form name in the subject line. Manifest forms must be emailed separately from other forms. If you have already submitted the required information on forms previously published, you do not need to resubmit information on the revised forms. However, please use the new forms after August 1, 2011. Unless otherwise stated, Licensees do not have to use the form templates provided by the MMED. If Licensees have systems or procedures that capture the same information in the form templates, they can submit/retain the required information in their own formats. Licensee signatures are not required on the forms, but when Licensees provide a form or report to the MMED, they are attesting that the information provided is complete and accurate to the best of their knowledge. Records must be kept for three years prior to the current year. Submit to MMED MMED or Form Form Maintain on Frequency of Required? Statute / Rule Number Form Name Site? Audience Submission (2) Instructions Reference

MEDICAL MARIJUANA ENFORCEMENT DIVISION FORM MATRIX

146

333

Form Matrix

MMC Inventory Count 1120 Sheet Maintain MMC

N/A

No

MMD form rev 7/2011

MMC Licensees are required to record the grams of Medical Marijuana on their premises every day that they are open to the public. Licensees should record their on-hand inventory when the MMC is closed (i.e., when product is not moving in or out of the facility). Include only the net grams of Medical Marijuana (i.e., exclude weights of containers and packaging). For infused products, include only the grams of Medical Marijuana in the product. Plants are not considered inventory for the 30% requirement. Licensees can either do a physical inventory count (i.e., physically weigh the product) every day, or they can rely on their POS system for C.R.S. § 12-43.3inventory data. If the Licensees do not have a POS system, they can calculate their ending inventory (e.g., beginning inventory + purchases and transfers in - sales and transfers out = ending inventory). The average 402.4, MMED monthly inventory will be carried to Form 1060. Rule 1.210 (A-E)

INSTRUCTIONS: Required forms must be faxed (303-205-2398) or emailed to [email protected]. If you email the forms, please put the form name in the subject line. Manifest forms must be emailed separately from other forms. If you have already submitted the required information on forms previously published, you do not need to resubmit information on the revised forms. However, please use the new forms after August 1, 2011. Unless otherwise stated, Licensees do not have to use the form templates provided by the MMED. If Licensees have systems or procedures that capture the same information in the form templates, they can submit/retain the required information in their own formats. Licensee signatures are not required on the forms, but when Licensees provide a form or report to the MMED, they are attesting that the information provided is complete and accurate to the best of their knowledge. Records must be kept for three years prior to the current year. Submit to MMED MMED or Form Form Maintain on Frequency of Required? Statute / Rule Number Form Name Site? Audience Submission (2) Instructions Reference

MEDICAL MARIJUANA ENFORCEMENT DIVISION FORM MATRIX

334

MEDICAL MARIJUANA ENFORCEMENT DIVISION EMPLOYEE LIST Enter business licensee name

Business Licensee Name Business Licensee / Application Number

Enter business licensee/application number

Enter month reporting

Reporting Month

INSTRUCTIONS: Provide the required information for all employees, including non-employee owners, that work at your facility. If an employee does not yet have a license number, put "Pending." The list is due by the fifth business day of the month and licensees must report their employee list as of the last day of the prior month (the reporting month). For example, on Sept 5, licensees are required to submit their employee list as of Aug 31. Licensees must submit the Employee Status Change Form (Form 1030), when required, within 10 business days to the MMED.

Employee License #

Employee Last Name

Employee First Name

Enter employee Medical Marijuana Key or Support license #.

Enter Employee Last Name

Enter Employee First Name

TOTAL EMPLOYEE COUNT

Form 1000

MMED form rev 7/2011

147

335

MEDICAL MARIJUANA ENFORCEMENT DIVISION EMPLOYEE STATUS CHANGE FORM

The purpose of this document is to notify the Medical Marijuana Enforcement Division of status changes for the employee of my business as listed below: INSTRUCTIONS: Provide the required information when there is a change in employee status. This form must be submitted to the MMED within 10 business days of the change. Also update Form 1000 accordingly for submission by the fifth business day of the next month.

Business Name

Business License Number

Enter legal business name

Enter business Medical Marijuana registration license number

Employee License Number Enter employee Key or Support license number

Employee Last Name

Date

Enter effective date of change

Employee First Name

Enter employee's last name

Enter employee's first name

Change of Status - check all that apply  Name Change

 Employee License Number Change

 New Hire

 Terminated Employee

 Other

Please Explain: List details of change marked above (Name Change, New Hire, etc.). Include old information and new information where applicable.

Form 1030

148

MMED form rev 7/2011

336

MEDICAL MARIJUANA ENFORCEMENT DIVISION MONTHLY PRIMARY CENTER PATIENT LIST

Enter month reporting

Reporting Month Enter business licensee name

Business Licensee Name Enter business license/application number

Please submit ONLY the fields shown on this form. Do NOT send any other personal information about patients.

Business Licensee /Application Number INSTRUCTIONS: Provide the required information for patients that have designated you as their Primary Center. Do NOT submit any additional patient information. For patients that do not have a license number yet, put "Pending." If a patient is authorized for more than 6 plants, maintain, but do not submit, supporting documentation for additional plants. The list is due by the fifth business day of the month and Licensees must report their patient list as of the last day of the prior month (the reporting month). For example, by Sept 5, licensees are required to submit their patient list as of Aug 31. Licensees must submit the Patient Status Change Form (Form 1040), when required, within 72 hours to the MMED.

Patient ID Number Enter patient ID number from registry card

Form 1010

Patient Card Expiration Date

Enter patient card expiration date

Primary Center Designation Date

Enter effective date of primary center designation

Total Patient Count

enter total number of patients

Total Plant Count

enter total of maximum number of plants authorized for patients listed on this report

Maximum Plants Per Patient * Enter maximum number of plants authorized for patient

MMED form rev 7/2011

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337

MEDICAL MARIJUANA ENFORCEMENT DIVISION PATIENT STATUS CHANGE FORM The purpose of this document is to notify the Medical Marijuana Enforcement Division of status change(s) for the patient of my business as listed below: Enter date form is completed

Enter date change is effective

Today's Date

Effective Date

Enter business licensee name

Business Licensee Name

Business Licensee /Application Number

Enter business licensee/application number

INSTRUCTIONS: Provide the required information when there is a change in patient status. This form must be submitted to the MMED within 72 hours of the change. Also update Form 1010 accordingly for submission by the fifth business day of the next month.

Patient ID Number Enter ID # from patient's card

Patient Card Expiration Date Enter patient card expiration date

Primary Center Designation Date (1) Enter primary center designation date.

Status Change

(e.g. ID #, plant limit, Primary Center designation, etc.). Enter status change details

Date of Primary Center Designation Change Notification # of Plants for this (2) Patient (3)

Enter date of notification

Enter # of plants for patient

Please Explain Status Change Below: Provide additional information necessary to clarify or document patient status change or plant # if it exceeds six.

(1) If the patient is changing primary centers, enter the date of the change. Patients cannot change their primary center if they have designated another center as their primary center within the past 120 days. (2) If the patient is changing primary centers, the new center must notify the old center of the change within 72 hours. The old center must remove the patient from its primary patient list. The patient's plants at the old center can be assigned to other patients or allowed to continue to harvest, but the old center cannot plant new plants for the patient. (3) For each patient with a plant count greater than 6, the licensee must maintain additional documentation from the recommending physician as required per C.R.S 12-43.3-901(4)(e). Do not submit the additional documentation to the MMED.

Form 1040

150

MMED form rev 7/2011

MEDICAL MARIJUANA ENFORCEMENT DIVISION MEDICAL MARIJUANA TRANSPORTATION MANIFEST

338

All sales transactions are to be completed prior to transportation of any Medical Marijuana.  The receiving entity may reject product delivered, but amount delivered  must be limited to amount agreed upon in prior sales transaction. If the person tranporting Medical Marijuana has not yet received his or her occupational license  number, put "Pending" in the appropriate field.

Email completed form to [email protected] or fax to 303‐205‐2398  Date Completed:

License # of Originating Entity:

For MMED Use Only

Name of Originating Entity:

Address of Originating Entity:

Phone # of Originating Entity:

Fax # Which Approved MMED Copy is to Be Sent  (N/A if emailing): Phone # MMED Can Call with Questions: If you are delivering more than 17 products to one stop, use the space for the next stop to continue listing products. For smokable product, enter the grams of  Medical Marijuana in the "Weight / Quantity" field. For infused product, enter the quantity (i.e., item count) in the "Weight / Quantity" field.  You do not have to  include the grams of Medical Marijuana in infused products.  Check here             if multiple pages are used. List the total number of pages in the manifest here _____. Stop Number on Route:

Item Description

Weight  / Quantity

Name of Destination Entity: License No. of Destination Entity: Address of Destination Entity: Phone # of Destination Entity: Date and Approximate Time of  Departure: Date and Approximate Time of  Arrival:

Route to Be Traveled:

Notes: details for extenuating  circumstances (e.g., road closure,  flat tire, etc.) PRODUCT REJECTION (if only a portion of shipment is rejected, circle that portion above. ) Name of Person Receiving or  Date: Rejecting Product: I confirm that the contents of this shipment match weight records entered above, and I agree to take custody of those portions of this shipment not  circled above.  Those portions circled were returned to the individual delivering this shipment.   Signature: Signature of individual taking receipt of rejected portion of this shipment: Name of Person Transporting:

Occupational License # of Person  Transporting

Signature of Person Transporting

Date of Signature:

Make, Model, License Plate #

Form 1020

MMED Form rev 9/2011

151

MEDICAL MARIJUANA ENFORCEMENT DIVISION MEDICAL MARIJUANA TRANSPORTATION MANIFEST Stop Number on Route:

Item Description

339 Weight  / Quantity

Name of Destination Entity: License No. of Destination Entity: Address of Destination Entity: Phone # of Destination Entity: Date and Approximate Time of  Departure: Date and Approximate Time of  Arrival:

Route to Be Traveled:

Notes: add details for extenuating  circumstances (e.g., road closure,  flat tire, etc.) PRODUCT REJECTION (if only a portion of shipment is rejected, circle that portion above. ) Name of Person Receiving or  Date: Rejecting Product: I confirm that the contents of this shipment match weight records entered above, and I agree to take custody of those portions of this shipment not  circled above.  Those portions circled were returned to the individual delivering this shipment.   Signature: Signature of individual taking receipt of rejected portion of this shipment: Item Description

Stop Number on Route:

Weight  / Quantity

Name of Destination Entity: License No. of Destination Entity: Address of Destination Entity: Phone # of Destination Entity: Date and Approximate Time of  Departure: Date and Approximate Time of  Arrival:

Route to Be Traveled:

Notes: add details for extenuating  circumstances (e.g., road closure,  flat tire, etc.) PRODUCT REJECTION (if only a portion of shipment is rejected, circle that portion above. ) Name of Person Receiving or  Date: Rejecting Product: I confirm that the contents of this shipment match weight records entered above, and I agree to take custody of those portions of this shipment not  circled above.  Those portions circled were returned to the individual delivering this shipment.   Signature: Signature of individual taking receipt of rejected portion of this shipment: Form 1020

152

MMED Form rev 9/2011

340

Medical Marijuana Enforcement Division Secure Facility Form All Medical Marijuana Businesses operating with the State of Colorado must install security/video surveillance systems in each business location. Attach system lay-out to this form. Licensees must maintain completed form and attachments. Do not submit to the MMED. LICENSED BUSINESS INFORMATION License Number:

Date Submitted: Business Name: Physical Address:

Owner’s Name and Contact Information:

Business Name:

SECURITY VENDOR (IF OUT-SIDE CONTRACTOR USED)

Responsible Party or Owner: Address:

Phone Number: SYSTEM SPECIFICS IP Access Address for MMED Access to Surveillance System: DVR or NVR Product Used (Manufacturer and Model Number) : Location of Off-Site Security Video Storage:

Name of 24 Hour Contact for Business: (include: Landline; cell phone; email address; home location if available)

Form 1050

Revised 070111

153

341

MEDICAL MARIJUANA ENFORCEMENT DIVISION 30% COMPLIANCE REPORT For the 12 Months Ending (add month and year) Business Licensee Name: Business Licensee Number:

INSTRUCTIONS: This report aggregates data from Forms 1010, 1070 and 1120 to show compliance with the 30% wholesale requirement and the two ounce limit per patient. Using 12-month averages, wholesales transactions as a percentage of inventory must be under 30% in order to be compliant. In addition, monthly average inventory cannot exceed two ounces per patient. The 30% requirement applies only to MMCs and excludes live plants as part of average on-hand inventory.

Inventory Information (in grams)

Jul-11

Aug-11

Sep-11

Oct-11

Nov-11

Dec-11

Jan-12

Feb-12

Mar-12

Apr-12

May-12

Jun-12

Avg

Average Daily Inventory On-Hand (From Form 1120)

-

-

-

-

-

-

-

-

-

-

-

-

#DIV/0!

Wholesale Sales (From Form 1070) Wholesale Purchases (From Form 1070)

-

-

-

-

-

-

-

-

-

-

-

-

#DIV/0! #DIV/0!

Wholesale Sales as % of On-Hand Inventory

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

Wholesale Purchases as % of On-Hand Inventory

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

Inventory Maximums Total Number of Primary Patients (From Form 1010)

-

-

-

-

-

-

-

-

-

-

-

-

na

Maximum On-Hand Inventory (ounces)

-

-

-

-

-

-

-

-

-

-

-

-

na

Maximum On-Hand Inventory (grams) Average Daily Inventory On-Hand (From Form 1120)

-

-

-

-

-

-

-

-

-

-

-

-

na

-

-

-

-

-

-

-

-

-

-

-

-

na

-

-

-

-

-

-

-

-

-

-

-

-

na

On-Hand Inventory (Under) Maximum

Form 1060

154

Over

MMD form rev 7/2011

342

MEDICAL MARIJUANA ENFORCEMENT DIVISION PHYSICAL INVENTORY SHEET FOR MMCs INSTRUCTIONS: MMC Licensees are required to record the grams of Medical Marijuana on their premises every day that they are open to the public. Licensees should record their on-hand inventory when the MMC is closed (i.e., when product is not moving in or out of the facility). Include only the net grams of Medical Marijuana (i.e., exclude weights of containers and packaging). For infused products, include only the grams of Medical Marijuana in the product. Plants are not considered inventory for the 30% requirement. Licensees can either do a physical inventory count (i.e., physically weigh the product) every day, or they can rely on their POS system for inventory data. the Licensees do not have a POS system, they can calculate their ending inventory (e.g., beginning inventory + purchases and transfers in - sales and transfers out = ending inventory). The average monthly inventory will be carried to Form 1060. Business Licensee Name: Business Licensee / Application Number: Strain 1 (e.g., AK-47) Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7 Day 8 Day 9 Day 10 Day 11 Day 12 Day 13 Day 14 Day 15 Day 16 Day 17 Day 18 Day 19 Day 20 Day 21 Day 22 Day 23 Day 24 Day 25 Day 26 Day 27 Day 28 Day 29 Day 30 Day 31 * Carries to Form 1060 Form 1120

Strain 2 (e.g., Purple Kush)

Strain 3 (e.g., Bubblegum)

MIP 1 (e.g., Brownies)

MIP 2 (e.g., Soda)

Add columns as necessary

Monthly Avg*

TOTAL #DIV/0! MMED form rev 7/2011

155

343

MEDICAL MARIJUANA ENFORCEMENT DIVISION TRANSFERS, SALES, AND PURCHASES MONTHLY SUMMARY

INSTRUCTIONS: This report aggregates data from Forms 1080, 1090 and 1100 and calculates monthly totals for transfers, patient sales and wholesales transactions. Enter Reporting Month

Month*: Business Licensee Name

Enter Business Licensee Name

Business Licensee Number

Enter Business Licensee/Application number

Date Enter Transaction date (NA if no transactions for the day)

Monthly Totals**

Transfers from OPC (in grams)

Enter total grams transferred from the Transfers from OPC Daily Summary Report (form 1090)

-

Patient Sales (in grams)

Enter total grams sold to patients from the Patient Sales Daily Summary Report (form 1100)

-

Wholesale Purchases (in grams) Enter total grams of wholesale purchases from the Wholesale Transaction Daily Summary Report (form 1080)

Wholesale Sales (in grams)

Enter total grams of wholesale sales from the Wholesale Transaction Daily Summary Report (form 1080)

-

-

* Reporting month is defined as the month for which you are reporting your information. For example, if you are submitting information for July, July is your reporting month. ** Monthly totals should tie to the 30% Compliance Check Report (form 1060)

Form 1070

156

MMED form rev 7/2011

344

MEDICAL MARIJUANA ENFORCEMENT DIVISION WHOLESALE TRANSACTION REPORT Daily Summary

INSTRUCTIONS: Enter the weight (in grams) of wholesales transactions. For infused products, include only the weight of Medical Marijuana in the product. If the strain is unknown, leave blank. Exclude wholesale transactions of live plants. The daily total is calculated and carried to form 1070. Enter date of transactions

Date Enter business licensee name

Business Licensee Name Enter business licensee/application number

Business Licensee /Application Number

This form is to be used for all Wholesale Transactions: Purchases and Sales. Transaction Number

Strain

Enter transaction number as assigned by licensee

Enter strain

Weight Quantity Purchased (in grams)

Weight Quantity - Sales (in grams)

Enter quantity purchased in grams Enter quantity purchased in grams

Batch #

Employee License #

Employee Initials

Enter batch number

Enter employee License #

Enter employee initials

Daily Totals -

-

* Daily totals should tie to the Transfers, Sales, and Purchases Summary (form 1070)

Form 1080

MMED form rev 7/2011

157

345

MEDICAL MARIJUANA ENFORCEMENT DIVISION PATIENT SALES REPORT Daily Summary

INSTRUCTIONS: Enter the weight (in grams) of patient sales. For infused products, include only the weight of Medical Marijuana in the product. If the strain is unknown, leave blank. Exclude sales of live plants. The daily total is calculated and carried to form 1070. Enter date of sales

Date

Enter Business Licensee Name

Business Licensee Name Business Licensee /Applicant Number

Transaction Number Enter transaction number as assigned by licensee

Enter Business License/Applicant #

Patient ID Number Enter Patient Registry #

Strain

Enter strain description

Daily Total

Batch #

Enter batch #

Employee License Number

Weight Quantity (in grams)

Enter quantity

Enter employee License #

Employee Initials Enter employee initials

-

* Daily total should tie to the Transfers, Sales, and Purchases Summary (form 1070)

Form 1100

158

MMED form rev 7/2011

346

MEDICAL MARIJUANA ENFORCEMENT DIVISION TRANSFERS FROM OPC REPORT Daily Summary

INSTRUCTIONS: Enter the weight (in grams) of transfers. For infused products, include only the weight of Medical Marijuana in the product. If the strain is unknown, leave blank. Exclude transfers of live plants. The daily total is calculated and carried to form 1070.

Business Licensee Name Business Licensee # Date of Transfer

Strain

Product Description

Batch #

Weight Quantity (in grams)

Employee License # (from OPC)

Employee Initials

Employee License # (Center or MIP)

Employee Initials

Enter information and amounts of Medical Marijuana (in grams) or number of plants transferred from the Grow to the Center

Daily Total

-

* Daily total should tie to the Transfers, Sales, and Purchases Summary (form 1070)

Form 1090

MMED form rev 7/2011

159

USDOJ Seal

U.S. Department of Justice Office of the Deputy Attorney General

The Deputy Attorney General

Washington, D.C. 20530

October 19,2009

MEMORANDUM FOR SELECTED UNITED STATES ATTORNEYS FROM:

David W.Ogden-SignatureofDavidOgden Deputy Attorney General

SUBJECT:

Investigations and Prosecutions in States Authorizing the Medical Use of Marijuana

This memorandum provides clarification and guidance to federal prosecutors in States that have enacted laws authorizing the medical use of marijuana. These laws vary in their substantive provisions and in the extent of state regulatory oversight, both among the enacting States and among local jurisdictions within those States. Rather than developing different guidelines for every possible variant of state and local law, this memorandum provides uniform guidance to focus federal investigations and prosecutions in these States on core federal enforcement priorities. The Department of Justice is committed to the enforcement of the Controlled Substances Act in all States. Congress has determined that marijuana is a dangerous drug, and the illegal distribution and sale of marijuana is a serious crime and provides a significant source of revenue to large-scale criminal enterprises, gangs, and cartels. One timely example underscores the importance of our efforts to prosecute significant marijuana traffickers: marijuana distribution in the United States remains the single largest source of revenue for the Mexican cartels. The Department is also committed to making efficient and rational use of its limited investigative and prosecutorial resources. In general, United States Attorneys are vested with "plenary authority with regard to federal criminal matters" within their districts. USAM 9-2.001. In exercising this authority, United States Attorneys are "invested by statute and delegation from the Attorney General with the broadest discretion in the exercise of such authority." Id. This authority should, of course, be exercised consistent with Department priorities and guidance. The prosecution of significant traffickers of illegal drugs, including marijuana, and the disruption of illegal drug manufacturing and trafficking networks continues to be a core priority in the Department's efforts against narcotics and dangerous drugs, and the Department's investigative and prosecutorial resources should be directed towards these objectives. As a general matter, pursuit of these priorities should not focus federal resources in your States on

160

Memorandum for Selected United States Attorneys Page 3 Subject: Investigations and Prosecutions in States Authorizing the Medical Use of Marijuana Finally, nothing herein precludes investigation or prosecution where there is a reasonable basis to believe that compliance with state law is being invoked as a pretext for the production or distribution of marijuana for purposes not authorized by state law. Nor does this guidance preclude investigation or prosecution, even when there is clear and unambiguous compliance with existing state law, in particular circumstances where investigation or prosecution otherwise serves important federal interests. Your offices should continue to review marijuana cases for prosecution on a case-by-case basis, consistent with the guidance on resource allocation and federal priorities set forth herein, the consideration of requests for federal assistance from state and local law enforcement authorities, and the Principles of Federal Prosecution. cc: All United States Attorneys Lanny A. Breuer Assistant Attorney General Criminal Division B. Todd Jones United States Attorney District of Minnesota Chair, Attorney General's Advisory Committee Michele M. Leonhart Acting Administrator Drug Enforcement Administration H. Marshall Jarrett Director Executive Office for United States Attorneys Kevin L. Perkins Assistant Director Criminal Investigative Division Federal Bureau of Investigation

161

AUTHORIZATION TO CULTIVATE MEDICAL MARIJUANA PURSUANT TO CALIFORNIA PROPOSITION 215, SENATE BILL 420 & GUIDELINES SET FORTH BY THE ATTORNEY GENERAL OF CALIFORNIA

Pursuant to the Guidelines set forth by the Attorney General of California in August 2008, and in compliance therewith, the Member of this Collective whose name is identified below is authorized to cultivate medical marijuana on behalf of this Collective. NAME of Collective

__________________________________________

ADDRESS of Collective

__________________________________________

PHONE # of Collective

__________________________________________

Name of Collective Member Authorized to Cultivate __________________________________________ Signature of Collective Manager Authorizing Cultivation __________________________________________ DATE: _______________

The member-holder of this Authorization to Cultivate is approved to cultivate medical marijuana for the other members of this collective, as well as other collectives with whom this collective is associated. This Authorization to Cultivate is supported by the a) member-patient’s physician’s recommendations; b) the membership agreements of the collective, and c) this authorization, and other supporting records. This AUTHORIZATION TO CULTIVATE complies with guidelines for the security and non-diversion of marijuana grown for medical use issued by the Attorney General of California in August 2008.

162

AUTHORIZATION TO TRANSPORT MEDICAL MARIJUANA PURSUANT TO CALIFORNIA PROPOSITION 215, SENATE BILL 420 & GUIDELINES SET FORTH BY THE ATTORNEY GENERAL OF CALIFORNIA

Pursuant to the Guidelines set forth by the Attorney General of California in August 2008, and in compliance therewith, the Member of this Collective whose name is identified below is authorized to transport medical marijuana on behalf of this Collective. NAME of Collective

__________________________________________

ADDRESS of Collective

__________________________________________

PHONE # of Collective

__________________________________________

Name of Collective Member Authorized to Transport __________________________________________ Signature of Collective Manager Authorizing Transportation __________________________________________ DATE: _______________

The member-holder of this Authorization to Transport is approved to transport medical marijuana for the other members of this collective, as well as other collectives with whom this collective is associated. This Authorization to Transport is supported by the a) member-patient’s physician’s recommendations; b) the membership agreements of the collective, and c) this authorization, and other supporting records. This AUTHORIZATION TO TRANSPORT complies with guidelines for the security and non-diversion of marijuana grown for medical use issued by the Attorney General of California in August 2008.

163

Section 3 “Cultivation”

164

CULTIVATION OUTLINE LIGHT / GROW SAFETY 

No extension cords or power strips



Use a circuit that can handle current (amps) requirement



Timers and switches must be rated to safely control electrical loads



Ohm’s Law: Watts/Voltage=Amps



Example: 1000w lamp / 115 volts = 8.7 amps



1000w lamp / 220 volts = 4.6 amps



15amp circuit can safely operate 1) 1000w lamp



Manage heat output



Never exceed 80% of a circuits rated capacity



Grow info comes on a “Need to Know” basis



Don’t Show your grow



ODOR CONTROL



Do not steal utilities



Great way to get into real trouble

LIGHTING 

Ballast



High Voltage Cord and Socket

165



Light Bulb or Lamp



Reflector (sealed or Open)



Light Movers



Reflective wall materials

TYPES OF LIGHT SOURCES 

Fluorescent



HID (High Pressure Sodium or Metal Halide)



LED



Natural Sunlight

FLUORESCENT LIGHTING 

Relatively low intenstiy



Must be placed close to plants (2-4 inches)



Work well with seedlings, clones, and mother plants

HIGH INTENSITY DISCHARGE LIGHTING 

HPS (High Pressure Sodium)



MH (Metal Halide)



High radiant heat



High light intensity

166

LED (LIGHT EMITTING DIODE) 

200watt units are typical



New technology



Light spectrum has yet to be established



Low Profile



Needs to be close to plants



Low heat output

HYDROPONIC SYSTEMS 

Wick



Hand watering



Ebb and Flow (Flood and Drain)



Deep Water Culture (DWC)



Top feed/drip



Aeroponics

AIR VENTILATION 

ODOR CONTROL



Carbon filters



UV/ Ozone reactor



Circulation Fans 167



Exhaust Fans



Inline



Squirrel cage



Oscillating floor, table, or box fans



Air exchange rate



Complete air exchange of the grow space volume 1 per minute

NUTRIENTS 

Single or multi part



Maintain a pH of 5.8-5.9



Vegetative



High in Nitrogen (N)



Flowering



High in Phosphorous (P) and Potassium (K)

168

WATERING 

Automatic vs. Hand watering

PEST AND DISEASE CONTROL 

Insects and bugs



Neem oil



Pyrethrum



Azatrol or Azamax



Mold/ Mildew



Sulfur burner



Environmental control (humidity and temperature

TOOLS OF THE TRADE 

PPM Meter



Ph Meter



Light Meter



Measuring spoons and cups



Small 30x-100x microscope or magnifying glass



Inexpensive Radio Shack version is great



USB digital microscopes



Sharp trim scissors 169



ARS brand disposable and resharpenable



Fiskars spring loaded



Keep a grow journal

GERMINATING SEEDS 

Surface abrasion



Paper towel soak



2-7 days for seed to “pop”



Plant sprout root down 1/4-1/2”



72-78F

VEGETATIVE GROWTH CYCLE 

18-24 hour light period



Sativa, Hybrid, Indica



Monitor growth for height restrictions



40-60% relative humidity



70-79F

FLOWERING CYCLE 

12/12 Light/dark photoperiod



8-14 week flowering period depending on strain



Flowering nutrients

170



Absolute darkness in night cycle



40-50% Relative Humidity



70-77F

HARVEST AND CURE 

Checking for ripeness



Trichome color (clear, cloudy, amber)



Harvest to enhance desired effects



Small 30x-100x microscope or magnifying glass



Inexpensive Radio Shack type



Jeweler’s or textile loupe



Chop and hang upside down for initial drying



THC deteriorates in the presence of light --Dry in darkness



Maintain light air movement and exhaust



5 to 10 days for the initial dry



70-75F



45-50% Relative humidity

CURING 

When stems bend slightly then snap, it’s time to manicure the flowers and transfer to curing jars



Manicured buds are placed in glass jars

171



initially “sweat” jars approx 15min every 3 hours



When buds have stopped sweating, jars may be sealed and stored to continue to cure

o  o

2 weeks - 4 months cure time Grading Cannabis P.A.T.H.S

CLONES 

Clean, uncluttered work area



Clean tools with rubbing alcohol



Use a sharp razor blade



Cut between internodes



Make a clean 45 degree cut below or on an internode



Rooting compound



Roottech, Dip ‘n Grow, Olivias



Rockwool or GH Rapid rooters



200-300 ppm nutrient solution

GROW ROOM ENVIRONMENT 

Cleanliness



Humidity control



Humidifiers/dehumidifiers



Temperature control

172



A/C



Stand alone



Window unit



Central Air



Light timing



CO2



LPG/Propane fired CO2 generators



Impact on other environmental controls



Compressed CO2



Regulators

Training & Pruning



LST



FIM



Pinching



SOG



SCROG

173

With over 30 years cultivation experience, and the last 8 designing , building, and managing large scale state of the art cultivation facilities. We are the industry leaders in zero air exchange clean room cultivation facilities.

Working with The VonDank Group gives you a major advantage with our proprietary methodology and cutting edge technologies that work with all methods of cultivation including but not limited to: Organics, Veganics, Hydroponics, Aeroponics and all forms of aquaculture.

With the VonDank brand in your stores you will gain a boosted confidence from all your customers knowing that you only carry top shelf 3rd party tested medicine that is consistent, clean, and potent.

"Our Brand will build your business from seed to sale" That is not just a catch phrase for us. We are confident that when you decide to carry the VonDank brand and Genetics you will see a sharp increase in business. Our name carries with it confidence in high quality goods and services that will propel your business to the top. We already have a strong showing in Colorado and are currently expanding to Arizona, and California at a quick pace.

We will provide you with a trained staff and our own Director of Cultivation to manage your facility from seed to sale. If need be we can even manage your Dispensary and delivery services.

Partnering up with us will take you to the next level. Giving you the peace of mind to know that your business is being handled by industry professionals that have done all this before and have proven results with several industry references.

CONTACT US TO HANDLE ALL OF YOUR CULTIVATING NEEDS: www.VonDank.com www.facebook.com/VonDankExpert

174

[email protected] ph: 408-781-7485

Cultivation 101 Quiz 1)

How should the Trichomes appear when it is time to harvest? a) clear and amber b) milky white c) dark brown

2)

Approximately how much weight does Cannabis lose as it dries/cures? a) 50% b) 75% c) 25%

3)

What change indicates that a plant is sexually mature and ready to flower? a) branch nodes are symetrical b) branch nodes grow in an alternating pattern c) branches and main stem become stronger and more rigid

4)

How much does an "1/8th" weigh? a) 4 grams b) 28 grams c) 3.5 grams

5)

If the pH of the nutrient solution is incorrect, the plants will not be able to: a) absorb light b) absorb water c) absorb nutrients

6)

What is the best relative humidity range for drying Cannabis? a) 45-50% b) 80-95% c) 30-40%

7)

Another word for a cutting taken from a plant a) seedling b) clone c) phenotype

8)

What are the best conditions for rooting clones? a) 75-80F and 90% humidity b) 72-75F and 50% humidity c) 70-72F and 40-60% humidity

9)

Pyrethrum is a pesticide that: a) is safe to use on edible crops b) should not be breathed immediately after application c) breaks down in the presence of light d) all of the above

10) Neem oil is: a) a non toxic pesticide b) a natural bloom enhancer c) secreted by the plant to protect it from insects

175

Cultivation 102 Quiz 1)

What is an appropriate pH range for hydroponic Cannabis cultivation? a) 6.0-6.5 b) 5.8-6.0 c) 5.5-6.5

2)

What tool would you use to measure the strength of the mixed nutrient solution? a) pH meter b) PPM/EC meter c) measuring cup

3)

What are two effective ways to control garden odor? a) ozone b) carbon filter c) proper ventilation for the grow size

4)

How many 1000w lamps may be safely run on a 15amp 120volt circuit? Ohm's Law: watts / volts = amps a) 2 b) none, a 1000w lamp exceeds circuit capacity c) 1

5)

Safe, responsible, gardening requires: a) electrical safety b) effective odor control c) proper waste disposal d) security e) all of the above

6)

What color light is "safe" and will not disturb plants during the night cycle? a) blue b) cool white fluorescent c) green

7)

Cannabis is triggered to flower when: a) changing to bloom nutrients high in Phosphorous and Potassium b) they receive 12 hours of uninterrupted darkness c) they receive 12 hours of interrupted light d) 18-24 hours of uninterrupted light

8)

A very common deficiency to watch for is: a) phosphorous b) magnesium c) nitrogen and zinc

176

177

Marijuana Horticulture 101 Introduction to Growing

Discovering the Origin of Marijuana Strains Light, Sex Hydroponics Indoor Growing from clones Vegetative Transition Flowering Ripening Flushing, Trimming, Curing

Robert Calkin/CCI C 2010

178

The Plant: The Origin of Marijuana

“Every great advance in natural knowledge has involved owing the absolute REJECTION of authority.” Thomas H. Huxley

The marijuana plant (cannabis) contains an active ingredient called T.H.C. (delta-tetrahydrocannabinol). The glandular, resinous hairs on the inflorescences and floral bracts of female plants (also known as trichomes) contain this phenolic component. These dense glandular hairs are not generally found on the male cannabis plant. THC is the most potent cannabinoid. THC is technically an alcohol because it is not an alkaloid and lacks nitrogen. A natural compound in the brain called anandamide normally attaches in specific receptors in the brain that THC also binds to. The intoxicating effect felt by the user is caused by this interaction.

The inflorescence of a female marijuana plant is shown here close up (Cannabis sativa). These narrow, threadlike areas of the plant are varieties of the pistillate (female) flowers. The numerous glandular hairs (trichomes) look granular due to the blobs of resin. Again, the male plants will not have these hairs. Delta-tetrahydrocannabinol is the most potent psychoactive cannabinoid. The resin contains several phenolic compounds and a mixture of sesquiterpenes and volatile monoterpines.

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Popularity of Indoor Gardening Getting one’s hands on products for indoor cultivation is much more accessible than ever before. Access to indoor horticultural equipment did not become readily available overnight. Furthermore, medical marijuana twenty years ago was considered a utopian fantasy. Many pioneers paved the way to make marijuana more accessible and of a quality unparalleled to any marijuana previously grown. One could heavily rely upon the science of genetics and scientific study to conclude the genetically altered and superior hybrids are based upon logic. But to ignore cannabis’s metaphysical qualities would be to harness a power screaming for release from barriers and constraints. To quote a famous cultivator, DJ Short, “Until the scope of science broadens to encompass some of these concepts, beware its limitations in regard to the cannabis experience.” With an understanding logic should be possessed in order to walk thru a decision making process and cannabis upholds a superior quality of mysticism shrouding the coveted plant, the greatest decision a cultivator can make is to start with the finest seed or clone available. This book will not cover growing from seeds, yet taking the stance of focusing on clones alone. It will discuss in detail growing from clones and how to achieve beautiful babies from the mother plant later. Today’s selective breeding has led to the finest quality of marijuana available and today’s choices are far superior due to a few blazing pioneers in the cultivation industry. Now with all horticultural mediums available and selective breeding blazing a new botanical experience for the “cannaseur”, the world of cultivation opens a new door. “ You can always tell who the pioneers are because they have arrows in their back and are lying face down in the dirt.”-Source Unknown

Lights, Sources and Reflective Material What do we do when we grow indoors? Simulate the outdoors to the best of our ability and with the advantage of a High Intensity Discharge system. Technological innovation has made indoor growing superior to all past methods! High intensity discharge systems include high-pressure sodium lights and metal halide lights. Both lighting systems provide ample light in order to grow indoors.The high-pressure sodium and the metal halide systems emit high concentrations of full spectrum light and mimic actual sunlight far greater than any other lighting system available. Although the high-pressure sodium and the metal halide systems offer full spectrum lighting, both high intensity discharge systems generate distinctive lighting. Yes, both systems offer full spectrum lighting, but the high-pressure sodium systems possess a more red scope of light, thus significantly imitating the sun during the late

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summer season in a manner far superior to any other lighting system available. Due to the replication of light produced in the late summer season, high-pressure sodium systems are priceless during the budding stage. Metal halide systems tend to radiate more of a blue spectrum than any other lighting system available. In order to produce greater quantity from a plant, metal halides are pertinent during the vegetative stage. Keep in mind, experimenting with both metal halide systems and high-pressure sodium systems inspire many cultivators to be innovative and artistic with a garden. Without the use of reflective materials inside an indoor garden, a cultivator will not yield as grand of a finale as expected. The greatest reflector of all is the color white. Maximize the quality and quantity of a finished product by painting all walls within an indoor garden the color white. Remember when using white paint alone, maintaining the aseptic purity of the color is of grave importance to a garden. Another reflective material that may be used and is highly recommended is Mylar. Though not cost effective, Mylar maintains its durability and needs little to no maintenance. Mylar also obstructs rays of light that may be perceived by an infrared scanner. For both reasons mentioned, Mylar is preferred by many cultivators.

Light Cycles and the Distance of Lights from Plants: If only one suggestion is lifted from reading this book; invest in an automatic electrical timer. Electrical timers are of little expense and humans are known for error. Bear in mind, the number of amps a chosen lighting system utilizes in order to function properly when purchasing an electrical timer. You do not want to melt your electrical timer, or even worse, burn your factory to the ground. Electrical timers make gardening less problematic and plants do not suffer from any erratic lighting conditions. In order to optimize growth, set an electrical timer for a minimum of eighteen hours per day until the flowering stage is ready to begin. Maximizing the amount of light up to twenty-four hours per day will increase the growth of a plant significantly.

Lighting Position:

Keep in mind the lights must be raised in a garden as the garden continues to grow. Usually lights need to be adjusted once to twice weekly. Remember when dealing with high intensity lighting, lights may burn a plant without ever touching a plant. Monitor the distance of lights from plants often.

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Strains Choose an easy to grow indica hybrid or short indica if you are a beginner and make it easy on yourself ! The hash producing countries of the world like Afghanistan, Tibet and Morocco are responsible for the indicas we know today.These dense, hardy, broad plants with wide leaves often grow darker green than sativas. Maturing around seven to ten weeks after flowering, they will yield large, softball size buds with a wide variety of flavors and aromas, ranging from skunky to fruity. Hybrids are created by combining indicas with sativas.These combinations often highlight the best features of the two plants. To see what the desired crosses are and what you are trying to achieve with the hybrid check the sativa/indica ratio (say 80% indica to 20% sativa). Sativas are not like indicas in that they are lanky and grow taller and spread out more. They are tall and thin and reedy like bamboo.They are quick growers and can reach 15 feet in a few months.They are from Asia, Africa, Mexico, Colombia,Thailand and Hawaii. Sativa buds are sweet tasting and often fruity with athin and flowery appearance.

Sexing To achieve a seedless and most desirable final product, separate all male plants as soon as the sex of the plant can be determined. Certain prominent characteristics of each sex can generally be sighted fairly quickly. The female plant will produce high levels of THC during the early stages of vegetation, generating a complex branching system with great budding density. The male plant does not. There will also be noticeable swelling around the nodes of the female plant during the vegetative stage. Small flowers will appear as the middle stage of vegetative growth begins. This is a good indicator of the sex of the plant. Male plants are stalkier and female plants will be leafier. You will also notice that male flowers are tightly closed and never open. The shape of the female flower is also different. It generally looks like a teardrop shape and teardrop shaped flowers appear protruding from the crown with two hairs sticking out. Male plants can also be distinguished by the appearance of a grape cluster or a set of male testicles borne on the flowers.These pods contain pollen which is stored and released, traveling great distances. If a male plant is discovered in your grow room get rid of all your plants.The females have probably been impregnated and you must start again. When this happens, the female plant spends its time creating offspring instead of focusing on creating buds to attract a male plant. In order for the proper sexing of a plant to occur, the plant must be placed into the budding cycle photoperiod known as the “flowering light cycle”. The flowers should appear on new clones within ten to fourteen days. Once this happens, keep these new babies in the budding stage until harvest time.

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Hydroponics When we use the term "hydroponics," we are referring to several techniques of cultivation that rely on a nutrient solution delivered directly to the plants roots. Additionally, a hydroponic grow setup eliminates the need to use an organic soil. Instead of soil, an inert growing medium is used primarily to give the plant physical support. Inert grow mediums may also serve to keep the nutrient solution physically (not chemically as with soil) available to the plants roots. Inert grow mediums cannot absorb and release nutrient ions or cations (CEC) for later use by the plant like a soil mixture. Rockwool, clay pebbles (hydroton), pearlite, and water are some examples of inert growing meduims. One exception to this rule, however; is Coco Coir. The concept of hydroponic gardening is far from new. Throughout history, various human civilizations and cultures have documented the effective use of hydroponic growing techniques. The Babylonians, Aztecs, Chinese, and Egyptians all recognized the advantages of growing with hydroponics instead of soil. In modern times, scientific research has led to the successful use of hydroponic methods in areas where the natural environmental conditions are unable to support conventional farming. The experimental use of hydroponic methods to provide fresh food for soldiers stationed on desert islands in the Pacific Theater during WWII is a good example of this. More recently, hydroponic methods have been adapted for use in zero gravity and hydroponic experiments have been frequent features on NASA's Space Shuttle missions. In the 1970s, hydroponic gardening wasn't just for scientists and technicians anymore. Traditional farmers and enthusiastic hobbyists embraced the advantages that hydroponic growing had to offer. Some of the advantages of growing with hydroponics include: • Achieving notably higher yields than traditional, soil-based growing. • Allowing food to be grown and consumed in areas of the world that are unable support crops in the soil. • The elimination or great reduction of the need to use powerful insecticides. Since many pests originate from the soil, the use of hydroponics effectively paves the way to cleaner air, water, soil, and food. Hydroponic growing techniques tie into subjects that most people care about, such as ending world hunger and helping to reduce our impact on the environment to the advantage of future generations. People across the globe have been building (or purchasing) their own systems to grow safe, fresh, superior tasting food for family and friends. Educators exploring the amazing applications that hydroponics brings the classroom. Untold numbers of ambitious individuals are striving to achieve their dreams by making their living in their backyard greenhouse,

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successfully selling their produce to local markets and restaurants. With so many people from very different walks of life getting involved in various hydroponics disciplines; it's no wonder why technical advancements, and new job markets are developing at a vigorous pace.

Simulating Air, Controlling Circulation and Temperature: When growing indoors, a cultivator manipulates a controlled environment. Within this controlled environment things get hot— really hot. In order to minimize the amount of heat radiating from those high-pressure sodium lights and metal halides, an indoor cultivator’s space must have proper ventilation and a source of air in order to recreate outdoor winds. Considering the proper growth of plants, three main components dealing with air need consideration and attention. The first of the three components needing attention is temperature. A section is provided concerning proper temperatures during all cycles. The second component in need of reference is humidity. Humidity is of concern with indoor gardening space. A humidity level reaching approximately sixty percent will stunt the growth of a plant. Also, mold and fungus will become apparent with a high humidity, defeating the invasion of mold and fungus is virtually impossible with high levels of humidity. When dealing with levels of high humidity, water evaporates from the plant’s leaves more slowly than usual. In contrast to levels of high humidity, low humidity levels also affect a plant’s proper growth. When levels of low humidity occur, a plant cannot maintain proper hydration. A plant will close its stomata before dehydration occurs trying to protect itself. When a plant closes its stomata, growth of the plant will become stunted. Cannabis loves a rate of humidity ranging from forty to sixty percent. Knowing cannabis will thrive within the relative humidity range mentioned, recent studies have proven the potency of cannabis can be affected by humidity levels. Research has proven that the buds from cannabis produce a higher potency level when relative humidity does not increase over seventy percent. Because cannabis requires relative humidity, do not place plants by an air conditioning or heater unit. Both air conditioners and heater units decrease humidity within the air. One way to combat high humidity, other than proper ventilation, is to place a dehumidifier or an air conditioner inside an indoor garden. Also, keeping an indoor garden free of debris and excess water will help with humidity levels and reduce the risk of mold, bacteria, and fungus development. The third component when dealing with proper air and temperature is structure. The structure or

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composition of air includes two vital ingredients necessary for a plant’s survival. The essential ingredients are oxygen and carbon dioxide. As mentioned, cannabis plants adore Co2 and as human beings use oxygen, so do plants. The difference between a plant’ and human’s intake of air is the amount of oxygen released is greater than the amount consumed by the plant. In turn, a plant consumes more carbon dioxide and releases a minimal amount of carbon dioxide back into the air. Having plants inside human’s homes aids in a greater amount of oxygen generating and ventilating throughout a home. Now proper ventilation is of dire importance. As a general rule, keeping a garden cool and free of moisture will aid plants to thrive.

Co2 Many cultivators will add Co2, what plants love to breathe and humans expel, into an indoor garden. The use of Co2 within an indoor garden creates optimal conditions for cannabis growth. As of date, two effective ways to pump Co2 is thru the use of a generator and thru the use of Co2 tanks. In reference to CO2 tanks, the delivery of CO2 is not hindered by heat or humidity as with the use of propane generators. Another plus indicated by the use of CO2 tanks is the ability to automatically turn off by the use of a timer. As cannabis only needs CO2 during lighting cycles, the automatic timer will shut off during dark periods. CO2 generators burn natural gas in order to function properly and the amount of CO2 released into the air is regulated by the use of a pilot light and a CO2 meter. As discussed, if the chosen method of CO2 delivery is by the use of a propane generator, keep in mind the chosen method releases heat and humidity into the air. Ensure proper ventilation is evident beforehand. The level of CO2 distribution is also measured using the parts per million method (PPM). A reasonable number for the distribution of CO2 is in between the given numbers 1500 to 1800. As with everything and anything, maintaining a healthy balance is of vital necessity. Cannabis does love CO2 but too much CO2 may actually suffocate cannabis plants. Furthermore, roots do not like CO2. A cultivator should never apply CO2 into mediums. A common issue amongst cultivators who use Co2 is an explanation as to why one would need Co2 in abundance. Many explanations have been given for the question posed. The one answer found to work: owning a paintball gun business.

Simulation of Wind The use of fans is another must. Fans simulate wind and that helps the plant stay dry and cool. Simulating wind also helps the plant to develop strong and sturdy stems, thus leading to greater support for all the weight a plant can carry during the flowering stages.

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The Perfect Temperature During the vegetative and flowering stages, indoor gardens housing cannabis should never rise above eighty degrees. Cannabis is known to be highly resilient but if temperatures rise above one hundred degrees, cannabis will only live for approximately thirty minutes. The perfect temperature to maintain during both the vegetative and the flowering stages is seventy to seventy-two degrees Fahrenheit. As discussed, proper ventilation and fan systems installed correctly help combat high temperatures resulting from lights.

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Clones and Seeds

Clones: Taking cuttings is one of the most popular ways to propagate a cannabis plant. Often called “cloning,” it is a very good method to get multiple cannabis plants that are genetically identical to the “mother” plant. WHY TAKE CUTTINGS? One reason to clone cannabis plants, cloning is faster than starting from seed. Cannabis plants will produce a rooted, growing cannabis plant from a clone before the seeds of the same cannabis plant will sprout. WHAT YOU’LL NEED: A SINGLE EDGE RAZOR BLADE SHOT GLASS - Or similar small glass or plastic container. GROWING MEDIUM - Rockwool or other suitable growing media. SEED TRAY WITH CLEAR HUMIDITY DOME- ROOTING HORMONE - You will need a good quality rooting hormone such as Clonex or Rootech. Stating the obvious, one should only use healthy cannabis plants to take cuttings. The healthier the “mother” cannabis plant, the better success you will have with your clones. Leach the nitrogen out of the mother cannabis plant(s) by watering them heavily with pH adjusted water only (no fertilizer) for two or three days before you take cuttings. This is an important step because the nitrogen stored in the cannabis plant will retard rooting. Most people use Rockwool or Oasis cubes, which are probably the easiest to use because they are pre-formed and already have a hole in them for the cutting. However, you can use many different mediums just as successfully, use plastic cups with holes cut in the bottom to hold coconut fiber, a Perlite & Vermiculite mix or other loose type growing medium. Do not

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use regular dirt or Peat Pellets as they stay too wet and will rot the stem of the cutting. You will need to pre-soak your growing medium before you start, using pH balanced water. Distilled water is the best thing to use. Make holes in the top of the growing medium about the same size or a little smaller than the stems of the cuttings. You do not want to force the cutting into the growing medium. It is critical that you sterilize everything before you start, because cuttings are very susceptible to fungus, viruses and diseases until they root. Use rubbing alcohol on your hands, the razor blade and the cutting block. Rinse the shot glass (or whatever you are using) with alcohol, dry it and then fill it 3/4 full with rooting hormone, and set aside. Work quickly but carefully. When you make the cut that separates the clone from the mother, you must get it into the rooting hormone as quickly as possible to prevent air from getting pulled into the stem. TAKE THE CUTTINGS 1. Take a growing tip from your cannabis plant 3” to 6” long with at least one leaf internode, two is better but not always possible. (A leaf internode is where the leaf connects to the stem, See diagram 1). 2. With a Sharp single edge razor blade, carefully cut off one or two leaves (or small branches) flush with the stem. (See diagram 2) 3. Make a cut approximately 1/4”below the internode(s) where leaves are trimmed. Cut the stem at a 45 degree angle. Hold the back-up block behind the stem and hold block tightly against the stem, this supports the stem and protects fingers. Make this cut as quick and clean as possible. Do not tear or crush the stem.

4. Quickly insert the cutting into the rooting hormone (See diagram 4). If using a liquid hormone, let the cutting soak for 30-60 seconds. (NOTE: With a gel type hormone you just dip the cutting and then insert it into the growing medium). 5. Insert the cutting into the growing medium (see diagram 5), do not push the cutting all the way thru the medium, leave room for the roots to develop. Make sure that the cut(s) you made at the leaf internode(s) are below the surface of the growing medium. 6. Gently pack the growing medium against the cutting. Make sure there is good contact between the cutting and the growing medium.

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CARE AND FEEDING INSTRUCTIONS 7. Once cutting(s) are placed in the growing medium, mist the inside of the clear humidity dome and place dome over the tray. (NOTE: The cuttings need some ventilation and a couple of small holes in the dome will usually do the trick). 8. Remove the dome and mist the inside 2 or 3 times daily.This keeps the cuttings from drying out and also changes the air under the dome. This step is critical. The humidity under the dome needs to be about 90 % until roots appear on the cuttings. (NOTE: Be careful that the air under the dome doesn’t get too warm, if it is, you may have to increase the amount of venting and increase the number or mistings per day). Cuttings need to be kept between 72 and 80 degrees Fahrenheit. Too hot or cold will inhibit root growth. 9. The cuttings will need bright light. (1-2 inches above the cannabis plants)._If you are using a Metal Halide or High Pressure Sodium fixture, keep the cuttings further away from the light.(2 - 3 feet away for 175 - 400 watt bulbs and 4 - 6 feet for a 1000 watt bulb). The lights should be turned on for 18 to 24 hours a day. 10.To water cuttings, use plain distilled water, or you can add a very mild fertilizer such as Olivia’s Cloning Solution or Clonex Root Concentrate. Don’t forget to adjust the pH of the water / nutrient solution (5.8 for most situations). 11. Water the cuttings every 2 days. Unless in a very dry climate, water every day. Never let the growing medium dry out. Do not let it set in water either, or stem rot will appear. 12. After one week, test to see if cannabis plants have started to root. Remove the humidity dome and leave it off for an hour or two. If the cannabis plants have not wilted, the plant will have enough root development for support. Once you have determined the cannabis plants can support themselves, stop misting the cuttings. (NOTE: Once the cannabis plants have roots, constant misting can actually be harmful to the cannabis plants). 13. If the lower leaves start to turn yellow and die, it is perfectly normal. It is the cannabis plant feeding off of itself to sustain life, moving valuable nutrient and water from old growth. Do not remove any dead growth until the cannabis plant is well rooted. If you remove the dying growth the cannabis plant can starve and die completely. 14. When the cuttings are completely rooted, move to your hydroponic system or the soil. Taking cuttings is one of the most popular ways to propagate a cannabis plant. Often called “cloning” it is a very good method to get multiple cannabis plants that are genetically identical to the “mother” cannabis plant.

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Vegetative Stage “We are trying to recreate in a short period of time what it took nature thousands of years to do.” Source- Reinhold Rau When roots are visible, this process can take up to two weeks, the cloning stage is complete and the beginning stage of vegetative growth begins. This means the plant will be photosynthesizing as much as possible to grow tall and start many grow tips at each pair of leaves. A grow tip is the part that can be cloned or propagated asexually.They are located at the top of the plant, and every major internode. If you “top” the plant, it then has two grow tips at the top. If you top each of these, you will have 4 grow tips at the top of the plant. Note, top on the fifth or seventh node to ensure plant meets bushing potential. During the vegetative growth phase, the utmost growth of cannabis appears and the plant produces shade like leaves. Many cultivators refer to these leaves as “fan leaves.” These large leaves turn sunlight into energy for new growth.Take into account, during the vegetative stage a healthy plant grows with vivacity. Each new set of fan leaves should appear larger than the previous set grown. While the vegetative cycle occurs, a lighting cycle should mimic the summer season. But with the use of indoor lighting systems, manipulating the amount of light to promote growth is a wonderful tool. Lighting systems should be placed on an electrical timer to run at a minimum of eighteen hours. One can maximize one’s potential growth rate by keeping the light cycle during the vegetative and cloning stage on twenty four hours daily.

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Flowering During the flowering stage, a plant must be kept in complete darkness for twelve hours. DO NOT allow any light to infiltrate a garden of cannabis during twelve hours of dark time in conjunction with the flowering stage of a plant.

Generally, cannabis requires approximately two weeks of dark time in succession before the first flowers of the plant appear. During the photoperiod, (photoperiod is defined as the number of hours a plant spends in the darkness versus the amount of time a plant spends in the light) the amount of time for flowering to begin will vary and is dependent upon a variety of reasons. A few causes for variation are as follows; type of cannabis grown, sex of the plant, age of the plant, and growing conditions. Now, just as a cultivator may force a plant to progress past the vegetative stage, a cultivator may also manipulate and control when a plant is to flower. Again, with indoor growing the cultivator has the advantage of determining the maturity of a plant. A general timeline for cannabis plants to conclude the budding stage is forty five to seventy days. The variation of time is dependent upon the strain of cannabis grown.

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Ripening In the ripening stage the health of the plants has declined and the plants are well past their main reproductive phase. Some of the inner leaves have changed color and many of the larger leaves are starting to drop off. The pistils may be turning brown, falling off and many of the older leaves will take on a purple, orange or yellow color. Swollen calyxes predominate and only the last terminal pistils are still fertile. Protective resin heads cover the calyxes and associated leaves in heavy layers. Although glandular trichome production is rare, some existing trichomes may still elongate and secrete resin. The resins will change color as they mature. A more viscous and dark colored resin

will be produced in long chains by the polymerization of the small terpene molecules that make up most of the resin. A darkening and ripening of the resin follows the peak of psychoactive cannabinoid synthesis and the High THC content of the mature resin can be detected by its transparent amber color.

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Transparent amber resins are the hallmark of high quality Cannabis and only the finest strains exhibit these characteristics.The most potent weed from around the world is often encrusted with these amber colored resin heads. At this stage in the plant, however, the period of resin production has passed and total resin accumulation is at its highest level.

Flushing Allow seven to ten days for the flushing process to achieve results desired. Using an additive such as Florakleen by General Hydroponics, will help leach excess salts and nutrients from the medium. Use filtered water during the flushing process and adjust the ph of the water by completing the necessary time frame as mentioned above. The necessary ph level needing to be reached is 5.5 to 6.5.

TRIMMIN

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Curing Floral Clusters To preserve and enhance the appearance of your harvest you must dry, cure and store your bud properly. This greatly improves the taste, appearance, pyschoactivity and value of the flowers. Poor handling is the most common cause of flowers being ruined and the devaluation of the product. The production of the final product begins when the plant is harvested. There are two methods of harvesting Cannabis floral clusters. You either cut them individually from the stalks and carefully package them in shallow trays or boxes, or uproot them and cut off the entire plant. If the flowers mature individually then this method is best as each plant will be ready to harvest at a different time or the entire plant is not yet ripe. The stalks can be divided into shorter pieces and that makes the drying quicker and easier.The drying process occurs more slowly if the plant is dried in its entirety. All the water must pass through the stomata of the plant through the calyxes and leaves and not through cut stem ends. Little water vapor escapes and drying is slowed because the stomata close soon after harvest. Another interesting technique is boiling the roots of the Cannabis after harvesting them. You do this before drying. Boiling the roots was thought to force the resins to the floral clusters. However, there are very few resins within the vascular system of the plant. Most of the glandular trichomes have been covered with secreted resins already. Secreted resins are not water-soluble so are not part of the plant’s vascular system. So boiling does not move resins or cannabinoids around in the plant, nor will any other process. It will however, lengthen the drying time of the whole plant, shocking the stomata of the leaves, forcing them to close immediately. The buds dry more slowly this way if less water vapor is allowed to escape through the leaves instead of through the flowers. “Whole plants, limbs, and floral clusters are usually hung upside down or laid out on screen trays to dry. Many cultivators believe that hanging floral clusters upside-down to dry makes the resins flow by gravity to the limb tips. As with boiling roots, little if any transport of cannabinoids and resins through the vascular system occurs after the plant is harvested. Inverted drying does cause the leaves to hang next to the floral clusters as they dry, and the resins are protected from rubbing off during handling. Floral clusters also appear more attractive and larger if they are hung to dry. When laid out flat to dry, floral clusters usually develop a flattened, slightly pressed profile, and the leaves do not dry around the floral clusters and protect them. Also, the floral clusters are

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usually turned to prevent spoilage; this requires extra handling. It is easy to bruise the clusters during handling, and upon drying, bruised tissue will turn dark green or brown. Resins are very fragile and fall from the outside of the calyx if shaken. The less handling the floral clusters receive the better they look, taste and smoke. Floral clusters, including large leaves and stems, usually dry to about 25% of their original fresh weight. When dry enough to store without the threat of mold, the central stem of the floral cluster will snap briskly when bent. Usually about 10% water remains in dry, stored Cannabis floral clusters prepared for smoking. If some water content is not maintained, the resins will lose potency and the clusters will disintegrate into a useless powder exposed to decomposition by the atmosphere. As floral clusters dry, and even after they are sealed and packaged, they continue to cure. Curing removes the unpleasant green taste and allows the resins and cannabinoids to finish ripening. Drying is merely the removal of water from the floral clusters so they will be dry enough to burn. Curing takes this process one step farther to produce tasty and psychoactive marijuana. If drying occurs too rapidly, the green taste will be sealed into the tissues and may remain there indefinitely. A floral cluster is not dead after harvest any more than an apple is. Certain metabolic activities take place for some time, much like the ripening and eventual spoiling of an apple after it is picked. During this period, cannabinoid acids decarboxylate into the psychoactive cannabinoids and terpenes isomerize to create new polyterpenes with tastes and aromas different from fresh floral clusters. It is suspected that cannabinoid biosynthesis may also continue for a short time after harvest. Taste and aroma also improve as chlorophylls and other pigments begin to break down. When floral clusters are dried slowly they are kept at a humidity very near that of the inside of the stomata. Alternatively, sealing and opening bags or jars or clusters is a procedure that keeps the humidity high within the container and allows the periodic venting of gases given off during curing. It also exposes the clusters to fresh air needed for proper curing. If the container is airtight and not vented, then rot from anaerobic bacteria and mold is often seen. Paper boxes breathe air but also retain moisture and are often used for curing Cannabis. Dry floral clusters are usually trimmed of outer leaves just prior to smoking. This is called manicuring. The leaves act as a wrapper to protect the delicate floral clusters. If manicured before drying, a significant increase in the rate of THC breakdown occurs.”(An Advanced Study:The Propagation and Breeding of Distinctive Cannabis: Robert Connell Clarke; Chapter 4)

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GUIDE FOR MARIJUANA GROWING CONSULTANTS Growing marijuana is complicated. Every grower has preferences. Consistent success is difficult. Partnering with someone to help you grow can be vital for a novice and helpful for an experienced grower. This guide outlines how to enter into a cultivator’s agreement wherein the client provides space and funding and the cultivator provides advice and labor. No marijuana grow is the same. Garages, tents, closets, backyards, off-site forests, and every room in the house can be used to grow marijuana. Every consultant has a specialty hydroponics, soil, greenhouse, indoor, outdoor. As a specialist it is up to you make ensure the client will be an asset to the grow. While a client may have significant capital to invest and a space where marijuana growing is possible, he or she may not be suitable to keep to maintain the grow. Some consultants do not allow the client to enter the grow space, thereby ensuring any failures are the consultant’s responsibility. For clients only interested in making money this is a great arrangement. The contractor and his team do all the building, growing, harvesting and curing and the investor is given a percentage of the harvest. Consultants also make arrangements to teach clients how to grow as the harvests progress. As the process continues the client saves money by taking on more responsibility. Buying and Building An experienced grower should have relationships with several local grow stores. Grow stores are notoriously famous for bargaining. You should be able to get a discount of 10% to 20% when spending over $300, less if you pay cash. Your client wont have that relationship and will see the sticker price if they go to the same place. Clients appreciate when you inform them of your discount, it makes your presence more valuable. It also helps you bring more business to your local grow store. Grow stores get inundated with samples of all their products are happy to give them to loyal customers. Samples of nutrients, soils, tools, even bulbs can add up to hundreds of dollars as time goes on and your relationship continues. Writing to companies and telling them how great their products are can yield coupons and free stuff if you meet them at a trade show. When you are contacted by a client you need to establish quickly that your time is not free. While it imperative to be polite and hear what the client has to say, they will invariably start asking you for advice. In a few minutes explain what your services are. “Hello, John. I’m Martha I’m calling about hiring you as a consultant. I met you at class and joined bob's collective." “Hi, Martha. I remember you. Before we start, can you tell me where you are thinking of growing?”

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“I have a garage I want to start in and then move outside once it warms up.” “I can install your indoor system. We can talk about outdoors in person. Do you have experience growing?” “No, but I want to learn.” “I’m happy to have the help. I charge $250 to come by and see the space. Then I’ll write out an equipment list and draw up a contract.” “My friend has some grow stuff in their basement.” “If you are able to find out exactly what it is and test it we can check it against the list I will put together we should be able to use it. How big is the space?” “Enough for two cars. How much money can I make with that?” “I can’t calculate that until I put together the contract. I don’t guess because I need to know more. Do you have a preference between hydro or soil?” “I want to do Hydro. I heard it’s better.” “It can be, but it is more high maintenance. You’ll need me in there every day at some stages, which costs more. With soil I will come every other day for the first harvest.” “Can’t I just do whatever I need to do every day?” “I don’t do that for the first harvest. Some clients don’t want to enter the the room at all. That way, if something goes wrong, they can blame. Since you want to learn I can show you what I’m doing and will ask for help with some tasks depending on your enthusiasm. But, since I take half the harvest, I need to make sure it is worth my time helping you.” “You take half? I have a collective, but can you buy the other half?” “The market is paying $2,500 per pound now. I am happy to buy your half, or any part of it, but will only pay you $2,000. There are other options depending on what you are doing.” “What if we get bugs, or you screw up?” “The contract has an arbitration clause. In five years there’s been only one complaint. This isn’t a mechanical process. It’s farming and subject to all its natural variables. The most important thing is that we are able to work together. We can figure that out when I come by. If we aren’t compatible at least you get some valuable advice and a list of equipment to show to another consultant, or use on your own if you think you are up to it. You can also use the contract I set up as a template for someone else.” “Sounds good, but, before I pay $250 I need to know ballpark how much I can make.” “It’s about a pound per light every 90 days. Those are conservative estimates. Each light covers a 4 x 4 area. If you have all that math done by the time I get there it will help move things forward. I’m imagining you will be flowering in a 9’ x 9’ tent, with your clones and veg going in a 4’ x 8’ or 4’ x 4’, depending on the space. But these are things I cover in a consultation.” “What kind of light do you use?” “That we’ll have to get into when I get there. There are several options and it depends on how much you want to spend, the amount of energy you have, and other factors.” “I’m going to use High Pressure Sodium 600 Watt lights.”

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“If you have those already, please have them there when we meet. We need to go through your options before making any decisions. I like 600’s but I won’t feel I’ve done my job unless I explain everything available. When are you free to show me the space?” “Ok. I get it. How is Tuesday?” Conversations from potential clients seldom go this smooth. Already I've given up too much free information. Potential clients will often hear your pitch and bounce it off friends in the business. Confused by the deluge of information they acquire from these conversations, they often call the contractor back with a mountain of technical questions. While it is hard to not answer them to demonstrate your knowledge and help out a fellow grower, you must protect yourself and not waste time imparting your valuable, hard earned knowledge to someone for nothing. Be firm and tell them that all of their questions will be answered at the consultation. If they continue to press they are often the type who are too impatient or cheap to grow cannabis with the loving compassion necessary to produce quality product. During the consultation look around the person’s home. Are they a slob? Do they have messy animals, unruly kids? Are they paranoid, rationally or not, about parents, landlords, neighbors? If appropriate, check their State issued medical cards for the amount of plants they are allowed to grow. Bring membership agreements for them to join your cooperative, collective or other entity you use to facilitate your business. If you are doing this in a medical marijuana state you will have to amend your contract with language that legally enjoins you and the client in a collective, cooperative or some arrangement that you feel best protects you. State-by state guidelines regarding the production of marijuana for dispensaries and delivery services can be extremely complicated. Guides for individual states will be available as events progress. Get all this out of the way before talking about the grow. Once you are in the space they have in mind you will be able to tell them if it is feasible. Often clients have no ventilation available, or want to grow on a porch where heat and other factors can make it impossible. In other cases people are trying to hide the grow and need to be able to break it down quickly. Upon looking at the space you must decide whether or not you want to grow in a tent, grow box, build a custom room, or seal an existing space. If you are good with tools and build the space on your own you can charge more. Having a good relationship with your local building supply store is as vital as your grow shop. If you are not a carpenter and need to bring other people into the job then you must screen them carefully. Your client may be able to help or bring in a carpenter they can trust. Sealing an existing space usually maximizes the amount of marijuana you will be able to grow, but using enclosed tents and grow boxes has the advantage of using the space for drying, trimming, packing and other functions. These ancillary tasks are

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often neglected by clients when considering the available space. Explain to the client how to take full advantage of their space by providing a list of everything they will need to to build the room, grow, trim, cure, extract, pack and sell their marijuana. A client willing to set up a cloning and vegging space, flower room, drying area and the gear to make extracts is smart, and less likely to cut corners when it counts. They might not have the money to set everything up at once, but their willingness to do it is an excellent barometer of how much energy they are willing to spend growing. Explaining all this while they pepper you with questions about how much money is another danger sign. It means they are not listening to the details and you will have to repeat them later. Explain that you will not be able to make any guesses beyond the fact that each light gets around a pound, or whatever conservative estimate you can think of. Once you’ve agreed that the space is appropriate explain what you want to build and install. Start with the electricity. If you are an electrician you can do it yourself. If not you might need one to safely run a dedicated circuit. Ask your client if they know someone if you don’t, but it is imperative that you have two or three electricians with experience discreetly setting up grow spaces. Most people do not know anyone with such unique qualifications, one of the reasons they are paying you. Ask questions about the person’s lifestyle. You will be a major part of this person’s life and the potential for arrest always lurks. Is this someone you can trust. Is it someone you want o be around? Deciding how much to charge is based on how much work you have to do. You need to decide how much your time is worth. Are you going to be buying the equipment? Or can they simply take your list to the grow store or internet? Are you building as well? Some consultants charge $1,500 just to provide the list, others charge nothing to design and build the entire space, hoping their share of the harvest will compensate them. This is obviously a riskier proposition than getting paid in stages. Getting paid as much as possible up front is obviously the best scenario. If you have your own equipment find out what it, or the current equivalent, costs new. You can either sell the equipment to them, or include it’s use in your consultation fee. Make sure you or your client has enough money on hand to buy new versions of any equipment you don’t have a warranty for. Having a close relationship with your local grow store is key in these situations. Many consultants have small mountains of used equipment and are able to replace malfunctioning gear before the harvest goes awry. Setting up the grow is obviously the first step of the operation. As a consultant you want to get paid at each stage of the operation. Stage One - Initial Consultation Stage Two - Design and Build - Half up Front - Half On Completion Stage Three - Grow and Harvest - Depending on how often you will be working at the

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grow adjust what you are paid in cash or percentage of the harvest. In the example below CONSULTING - You examine a space to grow and provide advice or do on-site visits to existing grows. DESIGN AND BUILD - You design and build a grow space. GROWING FOR SOMEONE ELSE - CLOSED ROOM - You are hired to grow on a client’s property and guarantee them a percentage of a minimum yield. The client does not assist or enter the grow area. GROWING AND TEACHING - OPEN ROOM - You teach the client to grow while taking less of the harvest as the client assumes more responsibilities. GROWING WITH SOMEONE ELSE - OPEN ROOM - You are hired to assist an experienced grower in their space and are compensated based on the amount of time you spend on site or consulting. GROWING FOR YOURSELF IN SOMEONE ELSE’S SPACE - You pay a client to grow in their space. Be clear who is paying the extra electric and other costs if you are paying them in product. GROWING FOR AN INVESTOR - CLOSED ROOM - An investor provides funding for equipment, rent or other essentials space does not enter the space. GROWING FOR AND TEACHING AN INVESTOR - OPEN ROOM - An investor provides funding for a space and equipment while the grower teaches them how to do it. The investor can take on more responsibilities. The client is free to ask questions and learn how to grow. It is recommended that consultants forbid clients from performing any essential functions in the first harvest. As the client’s abilities grow you can pass on more responsibility to them. As they learn and do more your percentage of the harvest goes down. This provides incentive for them and frees you up to work with other clients. With every new face entering your grow space you bring not only the risk of insect infestation, but also the curse of wisdom. Clients are easily swayed by advice from successful, veteran growers. Fending off their suggestions can be tedious work. Consult the equipment lists and demonstrate the expense of changing to a new system. Remind them of the time they will be

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spending to change the strain, soil mix, or whatever they have in mind. Clearly inform them deviation from the protocols agreed upon will nullify the agreement. The variables in this example are easy to change based on your needs once you ascertain the available space and the amount of time the client is able to spend in the grow room. Vactions and time out of town can quickly complicate matters, especially when harvests go awry. Once complete, this is a good thing to document to show potential clients asking the invariable question, “How much can I make?” Profit Estimate for 9’ X 9’ Tent with Four 1000 Watt Lights GROWING AND TEACHING - OPEN ROOM This is an estimate based on current market prices. The Contractor will provide and install materials, equipment, plants and training for the purpose of cultivating medicinal cannabis at the property described below to the Client. Compensation for consulting services will be paid according to the following schedule: PHASE ONE: Equipment Utilities Maintenance Nutrients Consulting Fee Security

Up-Front Costs and Initial Investment 9 x 9 Tent fully equipped Installed $100 per light (4) - $50 Water per month

Total Phase One Contingency 10% TOTAL

$10,000 $1,800 $1,000 $1,000 $5,000 $1,500 $20,300 $2,030 $22,330

HARVEST and COMPENSATION SCHEDULE FIRST HARVEST MARCH 15, 2013 The current crop will yield a minimum of 4 pounds of medicinal grade cannabis that the Client and Contractor will divide in half. The Contractor guarantees to pay the Client $2000 per pound for any portion of the Client’s share if the Client so chooses. The Client is under no obligation to sell their share of the harvest to the Contractor.

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SECOND HARVEST MAY 15, 2013 This and future crops will yield a minimum of four pounds. The Contractor will be compensated 40% of the total, dried, manicured, medical grade cannabis up to five pounds. THIRD HARVEST JULY 15, 2013 The Contractor will be compensated 30% of the total, dried, manicured, medical grade cannabis up to five pounds. FOURTH HARVEST SEPTEMBER 15, 2013 The Contractor will be compensated 20% of the total, dried, manicured, medical grade cannabis up to five pounds. FIFTH HARVEST NOVEMBER 15, 2013 The Contractor will be compensated 10% of the total, dried, manicured, medical grade cannabis up to five pounds. All extra trimmings, extracts, residues and plant matter derived from the Harvest separate from the dried, manicured medical grade cannabis will be property of the Client. If the client chooses to expand the grow into other areas of the apartment the Contractor can be hired, if the Client chooses, to build and monitor the new space. Arrangements for compensation for expansion will be made at the time of the expansion. The Client will incur all costs for any expansion, repairs or equipment to replace any purchased in Phase One of this Agreement. ESTIMATED RETURNS BASED ON BULK WHOLESALE PRICE We estimate the current market will accommodate a $2,400 per pound price point. Client Return FIRST HARVEST MARCH 15, 2013 32 oz. @ $150 per $4,800 Contractor Fee 32 oz.

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SECOND HARVEST MAY 15, 2013

38 oz. @ $150 per Contractor Fee 26 oz.

$5,700

THIRD HARVEST JULY 15, 2013

45 oz. @ $150 per Contractor Fee 19 oz.

$6,750

FOURTH HARVEST SEPT 15, 2013

51 oz. @ $150 per Contractor Fee 13 oz.

$7,800

FIFTH HARVEST NOV 29, 2013

58 oz @ 150 per Contractor Fee 6 oz.

$8,700

TOTAL CLIENT RETURN PHASE ONE COSTS TOTAL OUNCES FOR CLIENT TOTAL OUNCES FOR CONTRACTOR

$33,600 -$22,330 224 96

TOTAL CLIENT PROFIT @ $150 per oz. 224 oz.’s

$11,270

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Section 4 “Budtending and Dispensary Management”

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TABLE OF CONTENTS I. Cannabis Overview a. Conditions-past cannabis history and current information II. Strains a. Basic Information b. Understanding strains c. Sativa (Day Choice) d. Hybrid Sativas e. Indica (night choice) f. Hybrid Indica III. Methods of Ingestion a. Smoking Cannabis b. Vaporizing Cannabis c. Edible Cannabis d. Daily Usage IV. Types of Cannabis Medicine/Different Forms of Cannabis a. Hash b. Keif c. Marijuana d. Hash Oil e. Hemp f. Matching Symptoms with the Right Medicine V. Health Conditions Cured By Cannabis a. Summary of Medical Effects of Cannabis b. Systematic Effects VI. Possible Effects a. THC Noticeable on the body b. Addiction c. Drug Interactions d. Driving “High” VII. Questions and Answers about Cannabis VIII. Consultation Process Overview a. Time Expectations b. Consultation Process Overview

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The goal of this course is to supply a Budtender with knowledge on cannabis for daily use. This section also provides information on proper strains, patient suggestions, types of ingestion, and more. I. Cannabis overview Cannabis, one of the most studied plants out there, is a psychoactive drug. The side effects of cannabis are minute however, while providing therapeutic effects of all kinds. Cannabis is used to lessen symptoms of diseases instead of cure them. As a Budtender, it is essential that one understand cannabis thoroughly. Many patients are new to cannabis, and having knowledge and experience is beneficial--promoting trust between you and the patient when advising strains. A. Conditions Cannabis Sativa, Cannabis indica, Cannabis Americanus, Indian hemp and marijuana are all the same plant. This plant has a long history for it’s many different uses, as well as different perspectives by (good or evil) the users. The therapeutic effects of cannabis have been re-explored during these modern times. In 1937, the availability of cannabis to physicians were removed. Since 1839, there were at least twelve different uses recorded that were therapeutic to the patients. Some included: analgesic, appetite stimulant, gastrointestinal sedative, anti-epileptic, anti-spasmodic, treatment of neuralgias (migraines, etc.), anti-depressant, tranquillizer, anti-asthmatic, oxytocic, anti-tussive, topical anesthetic, withdrawal agent for alcohol and opiate addiction, childbirth analgesic, antibiotic. The government still denies cannabis to those who need it, even with the results from the physicians that were noted of its helpfulness. Illegally, people are using cannabis for nausea and vomiting, a pain reliever, anxiety reducer, sleep inducer, etc. Marijuana is much less addictive and less abused than many drugs and alcohols used in existence today. The concern of marijuana primarily, is the effect of smoke on the lungs of the user. Cannabis smoke contains more tars and other items than tobacco smoke, but it also not smoked as much since it is primarily used medicinally. Marijuana still remains illegal, which causes much stress for people due to the threat of criminal prosecution. A vast-majority of North Americans want marijuana to be available to the public and be decriminalized since it has so many beneficial health effects. Physicians turn a blind eye to marijuana when it comes to their patients because they know of how it helps with the pain associated with many diseases and medical issues. II. Strains A. Basic Information

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Marijuana is made up of at least 85 Cannabinoids with research done on only a few The amount of THC and CBD is what determines whether it is a Sativa or Indica. THC- tetrahydrocannabinol Most well-known Psychoactive traits Potency of medicine is measured CBDs- cannabidiol Known for pain-relieving cannabinoid Reason cannabis works on a wide variety of illnesses Old School Shwag mainly built of THC and less than 1% CBD Sativex Pharmaceuticals combined CBDs and THCs equally into a cannabis spray in Canada. Terpenes Not researched until early 90s Produced by nearly all plants Used to attract pollinators Used to repel or kill predators A mixture of combinations can create smells that are unique to certain strains—can cause mind and mood altering effects Let patient smell the medicine B. Understanding Strains The main two varieties of cannabis are sativa and indica. There are multiples stains that combine the two together into a hybrid. All have a different effect and makeup. Indica stains have more chlorophyll allowing them to grow faster than sativa. The hybrids strains mature due to the percentage of indica or sativa they contain. The amount of indica and sativa in the hybrid also changes how the plant ends up smoking. Hybrids are beneficial to the breeder since one can change the plant into ways to help the needs of the user. Hybrids are the most popular in the market today, due to the amount of crossing over throughout time. Hybrids to remember: Love Potion, Harmony, Super Silver Haze, Thunderbird, Timewarp, Sour Diesal, C99, Trainwreck, Snowcap, Apollo, Big Bertha, and Skunk. C. Sativa (Day Choice) Originally named from Carolus Linnaeus who was the first to group the plant Sativa. This Swedish scientist called it Cannabis Sativa L (Linnaeus). Pure Sativa is very hard to grow. The seeds are rare. Sativa is a tall, slow growing plant that has thin leaves. They can grow up to 20 feet in height and take 10 to 16 weeks to mature. The

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color green varies and originates from Asia, Americas and Africa. The buds are long and thin. As the buds mature in warm environments they turn red. If the buds cool, they can turn purple. The plants are more fluffy and leafy, with less dense buds. The plants can smell sweet, fruity and floral. Smoke is mild. There is a high THC to CBD ratio in Sativas that create an elevated and energetic feeling for most. It can be used for people to focus, energize and inspire. They provide a sense of optimism and wellbeing. It also can work for pain relieving. Sativa has been noticed to help those with creative minds and good choice for daytime medication because it mainly is cerebral. Helps those with multiple sclerosis, Tourettes syndrome, fatigue, depression, ADD, ADHD, anxiety and glaucoma. Sativa does not help severe pain or insomnia. Also known by the names Sour Diesel, Blue Dream, Silver Haze, and Lambs Bread. Some examples are Acapulco, Burmese, and Malawi Gold

D. Hybrid Sativas (Sativa dominant) Hybrids fit the criteria such as the exotic smell, taste and “up” feeling Sativas are known for. Hybrid Sativas are used as medicine to help in motivation, though without the paranoia due to the hybrid breeding. The Sativa hybrids hardly have any pain relieving qualities, but instead have anti-depression and appetite prompter qualities. E. Indica (Night Choice) Second species of cannabis found by Jean-Baptiste de Lamarck. Lamarck was a French biologist and named the plant Cannabis Indica Lam. The plant was found in India, which is why he chose to call the plant Indica. The plant is originally from Pakistan and India. Indica is a shorter to medium height plant—3 to 6 feet tall—with leaves that have short wide fingers. The leaves are usually dark green, with some purple and as the plant matures, the leaves can get even more purple. The plant takes 6 to 8 week to mature. The buds are more solid, and it is a denser, heavy plant. The Indica plant has more chlorophyll and less extra pigments. The smell of Indica is much stronger. It can smell similarly to a skunk-like, dry and acrid stink. The effects can be relaxing, sleep inducing, anti-nauseate and/or a pain/stress reliever. The smoke is thick and tends to cause coughing when inhaled. This plant is a source of hashish. They are more durable and therefore used for indoor grows.

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Afghani is the most common and popular strain. Most other strains are derived from this one. Indica has a high CBD to THC ratio, which gives the user a relaxed and calm feeling. Often described as a “buzz.” It is commonly used to help with anxiety, stress, pain, glaucoma, chemotherapy side effects, cachexia, epilepsy, inflammation, schizophrenia, nausea and convulsions. Indica is also known as Hindu Kush, Master Kush, and Bubba Kush. Now, there are many hybrids of the plant so it is impossible to know the true CBD to THC ratios, but knowing about the original plant is useful. F. Hybrid Indica (Indica dominant) The hybrid Indica is the best and most loved by the user. “Kush” strains are most widely recognized and popular. There are many qualities users like in the hybrids, which the grower can incorporate as well. III. Methods of Ingestion There are quite a few ways cannabis can be ingested. The effects are different for each way of ingestion, for the amount ingested, etc. A. Smoking Cannabis Smoking is the most common form of ingestion of cannabis. There are many ways to smoke cannabis, but smoking the dried flowers and/or leaves of the plant through pipe, cigarette (joint), or water pipe (bong). This form is very fast and efficient. B. Vaporizing Cannabis This form of ingesting cannabis focuses on separating the cannabinoids from the plant without inhaling the smoke from the burnt plant. A vaporizer is a device that does the separating proficiently. This form tastes better than smoking, and it also does not have the negative effects of smoking. Vapor does not burn the throat. For a patient, it is important to test how it affects them before ingesting more to see it’s true outcome. C. Edible Cannabis Often, edible foods are products that have cannabis combined and cooked with oil and butter. This method lasts longer than vaporizing or smoking, but it takes long to have an effect (20 mins or more). When consumed on an empty stomach, the edible will work much faster than when the stomach is full. For patients, its important the wait for the full effects to take place due to the fact that is takes longer. Warn the patient of this, so they do not eat more when it is not necessary.

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Treats- cannabis infused butter/oil food options Cookies Brownies Cakes Candies Oils and Honeys-cannabis oils that are used directly on food to be consumed in capsules Honey mixed in tea or other foods Tinctures-concentrated form of cannabis edibles in an alcohol solution Used under tongue Mixed into water or other beverages D. Daily Usage Like all people, all patients are different. This means they will require different needs, due to their situations and surroundings. For some patients, cannabis will work miracles, while for others it may not work at all. A small dose could work for some, but not work for others. It’s important to recognize the differences in people and determine an appropriate medicine and amount for the patient. One average, patients need around three pounds of bud or more per year. In cigarettes that is roughly three to five per day which is equivalent to one ounce a week. In chronic conditions (very few), a patient may need six to twelve pounds or more per year. Acute and terminal patients could use less. Glaucoma and MS tend to need constant use in order to prevent future attacks. As for ingestion, this is different in dosage as well. Smoking cannabis is fast and efficient. Vaporizing cannabis is safe, but could entail twice as much. Eating lasts a long time, but can necessitate three to five times the amount of smoking. Edibles may be a good option for situations such as sleeping problems. IV. Different types of Cannabis Medicine The “bud” of the flower of the cannabis plant is the most potent for medicinal purposes. The leaves on the plant also include cannabinoids, in lesser concentration. The flowers and leaves can be use in all forms of ingestion. A. Hash Hash, also called Hashish, is manufactured by separating the trichomes from the cannabis flower. Trichomes are the reddish “hair” on the cannabis flower when dry. The trichomes are developed into a concrete paste or block. Hash can be powdery, or solid, depending on the processing. B. Keif Keif is made similarly to hash. It is made from the trichome of the cannabis flower. It does not

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have anymore processing after this and ends up being just dried trichomes. It is a dry powder. This can be ingested in all three ways listed before. It is often sprinkled on top of the cannabis before smoking or vaporizing to enhance the trichome matter in the flower. C. Marijuana Marijuana is generally the dried leaves and flower buds of the plant. Marijuana can also contain seeds and stems. The smell is very strong and/or spicy. The color ranges from green to gray to brown. Marijuana is most commonly smoked in hand-rolled cigarettes (joints, spliffs), in water pipes (bongs) or wrapped in cigar tobacco (blunts). It can be cooked with food and consumed. D. Hash Oil Also called cannabis oil, is made by extracting resins from cannabis plant. This is done using an organic solvent. Hash oil, is a thick and sticky liquid. The color can be gold, red or brown. Generally, this oil is smoked. The THC content is higher than marijuana. E. Hemp This type of cannabis has a very low THC content. Hemp is used for its fiber and for the making of rope, fabric, food, paper and cosmetics.

F. Matching Symptoms with the Right Medicine As a Budtender, it is not your job to diagnose the patient. The physician of the patient and the research from them is the safest way to get the correct medicine for the patient. Your job is to help the patient determine the correct amount, form and ingestion of medicine appropriate for their wants and needs. Look at the specific symptoms that need to be helped, and then determine whether or not there are negative effects that can come from the use of cannabis. V. Health Conditions Cured By Cannabis Cannabis has helped cured physical and mental illness via various strains all over the world for over 3500 years. Some of these areas are China, India, Europe, Africa and the Middle East. It has helped bring stress and pain relief and improved quality of life and functionality. It has been used as an expectorant and topical anti-biotic. Cannabis can be used to the same effect as Demerol, Valium and Morphine. Hemp seeds are nutritious and can work as a mild laxative. The nut-like fruit contains eight proteins and provide a nutritional balance. The essential fatty acids bolster the immune system in cannabis. A. Summary Medical Effects of Cannabis Cannabis has a chain of effects that are psychological and physiological, due to stimulation in

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the brain. Relaxation and less stress is the result. Cannabis stimulates appetite, has calming effects for the stomach and settles the gastrointestinal tract. Reduces pain, anti-inflammatory and soothes joints. Relieves pain from other movement disorders such as muscles cramps, convulsions, spasms, etc. When smoked or vaporized, cannabis clears the throat and lungs due to anti-phlegmatic and expectorant effects. Due to dehydration in the mouth from cannabis, this enhances taste and flavor. Cannabis can enhance sense of humor and wellbeing when it is synergistic with opiates. Cannabis speeds up heartbeat and pulse. Expands bronchia, blood vessels and alveoli. B. Systematic Effects Cannabis is useful for a number of medicines and conditions when used accurately and safely. Cancer/AIDS/HIV Reduces nausea from chemotherapy Stimulates appetite when needed especially during weight loss Reduces pain- headaches, leg cramps, etc. Helps with sleep Creates better moods, will to live, which leads to better recovery Applying THC directly in vitro, possibly a tumor-killing or reducing agent Kills herpes virus Anorexia Stimulates appetite Dehydrates mouth to enhance taste and flavors Glaucoma Reduces pressure in eye from ocular fluid buildup-reddening and dehydrating the eye Stops painful progressive vision loss Halts usage attack Pain Pain lowering (analgesic) effect—major Synergistic effects with opiates and other drugs Allows user to reduce dosage of prescription drugs Arthritis and multiple sclerosis Soothes joints Lowers pain Anti-inflammatory Helps with movement Migraines

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Reduce light sensitivity Reduces nausea-vomiting and pain If used regularly can help prevent from occurring Mental Health Sensory experiences heightened-music and art is more enjoyable Stimulate inspiration and critical thinking along with motivation Helps with ADD-focus and better concentration Reduces malaise in chronic fatigue syndrome Helps with mood swings Beneficial for memory (ex. Alzheimer’s) PTSD-reduces nightmares and rage Epilepsy and Seizures Relaxes muscles-convulsions, spasms, cramps Alleviates seizures Calms down nerves Epileptics should be weary of oral THC due to becoming more susceptible to seizures if they withdrawal from treatment Asthma Improves oxygen intake Gastrointestinal disorders Increases appetite Settles gastrointestinal tract Calm stomach and colon Lessens pain from cramping, inflammation, diarrhea and weight loss. Chronic Pain Blocks pain pathways in central nervous system Opiates such as codeine, morphine and oxycodone treat sever pain and are very addictive. Once a tolerance is built up to them, the patient has a lower response to them Due to pain reducing qualities of cannabis, it can injure tissues due to the inflammation around the damaged nerves Effective for neuritis and neuropathy THC helped with “phantom pain” in amputated limbs Other conditions as well. VI. Possible Effects A. THC Noticeable effects on the body: Dryness of throat—thirst Faster heartbeat—tachycardia Dilation of small blood vessels in eye’s outer coating—conjunctiva—which is redness of the eye

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Reduction of pressure inside of the eye, a benefit for glaucoma patients Dilation of upper bronchia passages in the lungs B. Addiction Cannabis is not physically addictive and many are often able to give it up with no difficulty. Psychological addiction is possible for people especially with habit-forming and addictionprone tendencies. 10% of recreational users have trouble controlling their intake. Studies have shown that cannabis in comparison to alcohol, cocaine, nicotine, opiates, caffeine, etc., is ranked at the bottom of the list. Cannabis does not show signs of dependence, reinforcement and withdrawal potential. C. Drug Interactions Unlike drugs such as alcohol and others, cannabis does not increase the effects that are lethal. Some drugs can stimulate tachycardia when combined with cannabis such as antidepressants. D. Driving “High” Cannabis does impair driving performance in different ways. It mainly affects attentiveness, short-term memory and reaction time. Cannabis seems to cause a more cautious approve to driving rather than the risky driving caused by driving intoxicated. VII. Questions and Answers about Cannabis What is Cannabis? Has been classified as a Schedule I agent (a drug with the potential for abuse and has no medical use). According to federal law, possessing marijuana is illegal. What are cannabinoids? Active chemicals in cannabis that cause drug-like effects throughout the body. History of the medical use of Cannabis 1937, US Treasury began taxing Cannabis under Marijuana Tax Act one dollar per ounce for medicinal use and one hundred dollars for recreational use. 1942-Cannabis removed from US Pharmacopeia because of “safety concerns” 1951-congress passed Boggs Act, which cannabis was included with narcotic drugs for the first time 1970- cannabis was classified as a Schedule I drug 1978-1992- though the government did not believe cannabis was helpful medicinally, it was distributed to patients on a case-by-case basis. If it’s illegal, why do some patients have it? Though federal law prohibits it, 16 states and the District of Columbia allow it for medicinal 214

purposes. Have any preclinical (laboratory or animal) studies been conducted using Cannabis or cannabinoids? Several studies have shown that cannabinoids may possibly inhibit tumor growth. This is caused by cell death, and then blocking cell growth and also blocking the development of blood vessels needed by tumors to grow. These studies have shown that cannabinoids have shown they may be able to kill cancer cells while protecting the good cells not harmed by tumors. One study showed how cannabinoids can protect against inflammation of the colon, and could help prevent colon cancer and treat it as well. Have any clinical trials (research studies with people) of Cannabis or cannabinoid use by cancer patients been conducted? No clinical trials have been done on humans with cancer, but cannabis and cannabinoids have been studied on ways to manage side effects associated with cancer and cancer patients such as nausea and vomiting, stimulating appetite, pain relief, as well as anxiety and sleep. The results were promising, but there needs to be more studies done to prove anything. Have any side effects or risks been reported from Cannabis and cannabinoids? Withdrawal symptoms from addiction include: irritability, trouble sleeping, restlessness, hot flashes, nausea and cramping (rarely occur). How Does Cannabis Affect the Body? After the user consumes cannabis, the THC travels to the brain once it is absorbed into the bloodstream. Once in the brain, THC latches onto certain receptors called cannabinoid receptors. This binding reaction is the effect the user feels. The amount of time varies, per person, per dosage and per way of consumption. THC is stored in fat cells and therefore takes a long time to clear from the body. This can lead to a positive drug test long after the consumption of the drug due to the storage of THC. Will Cannabis Always Produce the Same Effects? In short, no cannabis will be different practically for everyone. Some of the factors to consider on how cannabis will affect the user are: age, mood (expectations, environment), medical or psychiatric conditions, dosage, way of consumption, how often and for how long cannabis has been used, and use of other drugs. Short-Term Effects anxious, euphoric, ‘high,’ fear relaxed, talkative perceptual distortions

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when first used, there are hardly any psychoactive effects, after constant use there will be. Short-term use of cannabis can produce many other effects: Physically red eyes spontaneous laughter tiredness hunger paranoia, panic, anxiety slower reaction time, coordination and motor skills impaired short-term memory faster heart rate and decrease in blood pressure (fainting possible) dry mouth/throat irritation of the respiratory tract Other possible effects hallucinations pseudo-hallucinations (seeing colors/patterns) disorientation abdominal pain agitation VIII. Consultation Process Overview A patient will be nervous in most scenarios and will often turn to the Budtender for advice and support. When they visit a dispensary, they will be anxious and will need understanding and compassion from the Budtender. They will trust you and look for help and recommendations. Patients are all diverse, so it is important to understand their different needs. The Consultation Process that follows this section is useful for patients. A. Time Expectations The effects of cannabis are experienced instantly after inhaling or smoking. The effects when smoked are prominent for the first hour or so and lessen after three or four hours. Sleeping a whole night helps the effects disappear. Cannabis also does not have a “hangover” type effect. If cannabis is eaten, the effects are delayed and not immediate. They often occur an hour or so later. B. Consultation Process Overview In all businesses, it is important to make sure the client feels safe and comfortable with what they are doing.

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First try to understand the wants and needs of the patient though their condition and situation. As a Budtender, it is imperative to understand symptoms and health conditions that cannabis can help. A person may not look or act sick, but can actually feel incredible pain. Patients may try to hide the amount of pain they are in to appear stoic. It is important to get as much information about how they are feeling to give them accurate medical suggestions. Do not start out right away with questions about the medicine. Ease into it, with simple questions about the weather or other scenarios. Then ask questions similar to these: Have you been to/been in a collective before? Have you ever used any medication similar? Tell me what your symptoms are that are causing you distress… Record the symptoms as best you can, since this helps determine this the best. Follow up questions about the symptoms and conditions are next. Have you ever experienced selecting your own form of medication? Do you have a preference strain? How do you typically ingest your medicine> Making suggestions, and knowing all the possible ways to help with medicine is very important as a Budtender. Once you have matched the symptoms, make sure it determine the most important decision: Sativa or Indica.

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Why did you become a budtender? What made you think you could be a budtender? What do you have to know to be a good budtender? What are some of the key things to remember? How did you get your job as a budtender? What skills do you bring to the table? Why were you hired as a budtender? What are your “goals” as a budtender? What do you look for in a “good” dispensary/employer? How did you get your experience? What are the duties of a budtender? How do you differentiate strains? What are the differences between indica and sativa to the patient? What strains do you generally recommend for your patients and for what conditions? What kinds of records do you keep? Is there a protocol as to how you deal with a patient? How do you determine what strains a patient may need to try? How do you “grade” cannabis? What do you look for in good medicine?

BUDTENDING

BUDTENDING

What can you determine about the medicine just by looking at it/smelling it? Can you tell whether the cannabis is grown indoors or outdoors just by looking at it/smelling it? 1

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What are important things to look for when buying? How do you serve a patient when they come in? How do you present the medicine? How do the patients sample the medicine? How do you prepare/package the medicine?

B U DT E N DI N G

How can you tell the difference between methods of growing?

What methods of delivery do you recommend and how do you determine whether they need edibles, tinctures or vaporizing? How do you prepare for a robbery? What do you do if you are robbed? What is the general security protocol for a police encounter? What is the general security protocol for a raid? Do you have to be a patient to be a budtender? How much do budtenders get paid? Are there benefits? What is the potential for a raise or getting a promotion? Do you see this as a lifelong career? How should an aspiring budtender prepare for their career? Name some indicas and what they are good for. Name some sativas and what they are good for. What symptoms are treatable with cannabis? What specific conditions can be alleviated with cannabis? What pharmaceuticals can be replaced/reduced by cannabis? Does synthetic THC work as well as medical cannabis? What are the benefits of edibles/tinctures/vaporizing? 2

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DISPENSARIES, CAREGIVERS, AND COOPERATIVES: Some states allow patients to designate a “caregiver”, or individual who has an active role in the patient’s health to grow marijuana for them. More than half of all registered patients choose to assign a caregiver for their medical marijuana needs. After dozens of interviews with licensed patients and caregivers, we find the following reasons that patients choose not to grow marijuana for themselves: 1. Cost of a complete grow room: A complete growing operation requires at minimum two separate rooms where one will be used for vegetative growth and the second for flowering. Taking into account the pricing of high intensity lighting, climate and humidity controls, nutrients, bulbs, pumps, and numerous other equipment, the costs can range from as little as $2000 upwards to over $15,000 for a higher quality medicine. 2. Maintenance of a grow room: To be eligible as a legal medical marijuana patient, the individual must suffer from a debilitating condition or disease. As such, many patients report making the choice to assign a caregiver out of the observation that growing quality medicine requires daily maintenance. Nutrients must be calculated exactly, weekly pruning and adjustments to nutrient quantities, light cycles changed weekly, carbon dioxide regulation, and much more than could be explained in this discussion. 3. Fear of harm to self or family: By far the most reported reason for choosing not grow for themselves is the patient’s fear of harm coming to them or their loved ones. Two patients interviewed whom wish to remain anonymous were doused in gasoline while a group of men held lit matches, threatening to set them on fire if the victims did not forfeit their medical marijuana over. Eventually it was dis- covered the criminals in this situation were the patient’s neighbors, whom smelled the marijuana coming from the next-door house. Interestingly however, the largest fear by patients is not from criminals but rather from law enforcement. Numerous interviews uncovered fears of patients losing their family pets or children during police encounters, whether in custody battles or over accidental shots being fired. A custody case is currently underway in Arapahoe County where a mother may lose her children; not from neglect or child endangerment, but because she is a medical marijuana patient and the court feels the mother may not be responsible enough to raise her children. It would appear at first glance that patient’s choose to utilize a caregiver strictly out of negative consequence; because it protects them and their loved ones. There are however, more positive reasons by which patients decide to utilize a caregiver. A caregiver may grow for multiple patients, which drastically reduces the cost of production. When a caregiver grows for numerous patients, a greater amount of variety of marijuana strains may be grown, which gives each patient the ability to discover which variety works best for their medical needs.

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There are numerous advantages to both dispensaries and cooperatives, which include: 1. Having an actual business storefront creates a safe environment for patients. It creates a proper business with licensing and establishes the patient group in the community. Patients often report having to purchase medicine from street drug dealers. One 88-year-old woman was raped in Acacia Park in Colorado Springs, CO while attempting to obtain medicine from an area notorious for illegal drug activities. 2. Police know where the location is. Having a single location where patients meet allows for increased focus on patient and community safety. It can be interpreted as a statement by the dispensary/cooperative that they wish to remain law abiding, not making secret deals in alleys or random houses. 3. A wider variety of services and choices in medicines. Not only are patients seeing a wider selection of marijuana strains to alleviate their symptoms, but now able to treat their conditions with alternative therapies. Dispensaries are offering medicated foods, lotions, balms, tinctures, gums, and drinks. Additional services being offered are yoga, massage therapy, legal seminars with attorneys, support groups, and monthly group events. A holistic approach to disease management, where the focus is not only on medication, but diet and exercise changes that can potentially heal, is being offered to patients whom may never have had these opportunities if never designating a caregiver. 4. Greater numbers of patients communicating what works and what doesn’t for their disease allows for statistical data analysis. Such analysis allows scientists to identify trends between routes of marijuana administration (eating, smoking, vaporizing, etc), strains of marijuana (over 2000 types), chemical composition (over 78 cannabinoids), and how each of these variables compare to one another in treating a disease. Isaac Newton once said “If I have seen further it is because I have stood on the shoulders of giants”. By communicating success and failures in patient’s marijuana therapies, dispensaries have been enabled to identify a greater therapeutic potential in the new patient’s optimal treatment plan. 5. Availability of medicine is always assured. Even the best medical cannabis growers have had problems with pests, low yields, to high of yields to maintain legality, equipment failure, or some other unforeseeable problem which might limit their ability to keep a constant supply of medicine. A dispensary eliminates the reliance on a single garden or single crop. Spider mites are a common pest affecting marijuana plants. They can destroy an entire crop in less than 3 weeks if left untreated. With a short life cycle (~3-5 days), one treatment with pyrethrum, the most common pesticide used for mites, only destroys those mites that are alive. It does not kill their eggs. Thus pyrethrum treatments must be continuous for multiple applications. Other more effective chemicals exist but must never be used during the last weeks of flowering. Dispensary research has found certain plant essential oils (lemongrass, wintergreen,

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manageable by organic methods. Over the past 3 years we have seen a slow increase in patients deciding to have their medicine provided by dispensaries. These dispensaries have been in tight competition with each other with a beneficial consequence of lower prices on services, a wider variety of alternative services, and an overall increase in the quality of compassion by which they serve their patient base. In summary, collective organization of patients is beneficial to both the police and patient communities by ensuring safety, both in a legal and medical setting. Proper Safety Guidelines for Dispensaries: While each county in Colorado and Arizona has adopted their own codes of conduct for dispensaries, California is left wide open with no regulation. Regulation is essential in a medical setting, especially when the primary medicine being dispensed is one of the most widely abused recreational drugs in the world. Colorado and Washington are now for-profit states, where recreational use is legal. As the medical marijuana community grows larger, confrontations with law enforcement, the media, and the general community at large are inevitable. Prior to such circumstances, opening dialogue between law enforcement and dispensaries is essential to promoting a peaceful transition in the legal community as dispensaries become a societal norm. The following list is a suggested code of regulation for dispensaries to ensure safety and legal compliance, while maintaining the highest standard of care for their patients: 1. No dispensary will be allowed to open within 1000 feet of a school or within the same business park that is associated with high volumes of children passing through. This may include candy stores, toyshops, parks, or other related areas. 2. All dispensaries must pay local, state, and city taxes. This provides certain protections as a business while establishes a difference between the illegal street drug dealer and a medical service provider. This also includes writing receipts for all transactions. 3. All dispensaries must have licensed staff present during hours of operation. No vending machines, drive up windows, or unsupervised transactions take place.

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4. A dispensary will only service as many patients as the employees may personally take care of. A dispensary is not a Wal-Mart. A caregiver must know each patient by face, his or her conditions or diseases, and regularly communicate to identify if their treatment is working to the patient’s needs. 5. No medicine will be sold or purchased from outside sources, especially from non-licensed individuals, as this is medical marijuana, it is being used by sick patients. Marijuana from the streets may be contaminated, un-flushed*, laced, or mislabeled. Proper medical treatment needs consistency. Medicine being grown from the same sources by the same techniques, with known genetics increases the success rate of maintaining consistency. 6. Every dispensary will have contact information readily available for their clients regarding local drug abuse treatment centers, as well as educational materials on substance abuse harms. This is not limited to marijuana, but also includes opiates and alcohol. If the owner of a dispensary suspects one of their patients has a problem, they are expected to discuss it with that patient. Dispensary owners are strongly encouraged to meet with a drug abuse counselor on a regular basis for advice/training on handling drug abuse situations. Additional training on drug abuse can also be found at most community colleges in the health sciences or nursing departments. 7. Dispensaries must offer additional forms of medicine besides its raw smoking form. This can include, but is not limited to; vaporizers, hash oils, drinks, lotions, balms, foods, sublingual drops, teas, or other routes of administration. In addition, there should be ample variety of smoke-able medicine. Statistical analysis shows a 73% general medical market preference for indica strains over sativas, however, several disease categories (hypertension, neuropathic) show mixed preferences for both indicas and sativas. Dispensaries should utilize questionnaires to identify what general trends in patient preferences and focus their products on what best suits the patient’s medical needs, not recreational needs. 8. Dispensaries should limit monthly patient purchases. Questionnaires distributed for 1 year to all patients at a dispensary in Colorado demonstrate that 93% of licensed patients can successfully alleviate their condition for which they are using marijuana with 4 ounces or less each month. When there are certain patient’s who legitimately need more, they will be required to obtain a note from their doctor, or sign a consent form for the dispensary owner to speak to the patient’s doctor for consent. This rule is essential to ensuring that medical marijuana is not being resold on the street, nor is the patient abusing the drug. Products that have no psychoactivity (lotions, THC-free products) have no limit. 9. Dispensaries should maintain typical business hours comparable to stores in its immediate vicinity. Dispensaries should not be open after dark and not make exceptions to the hours by letting patients come to the store when it is closed. If a patient is having a medical emergency and needs medicine, the dispensary owner may deliver the medicine to the patient before/after normal hours of operation.

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10. Prior to opening, the potential dispensary owner should contact the local county sheriff’s office and make known their intentions. This should demonstrate the owner’s intentions in maintaining legal compliance and a hopeful ongoing relationship between the two communities. 11. Employees of dispensaries should regularly maintain communication with neighbors. Owners should ask neighbors about smell, noise, loitering, or any other potential concerns. Additionally, dispensaries should keep theirs and their neighbor’s business areas clean. 12. Patients should have access to educational resources about the potential harms as well as potential benefits to using marijuana. With this in mind, employees and dispensary owners should have at minimum a basic understanding of human anatomy & physiology, health & medicine, or have a trained professional in one of these fields available at regularly scheduled times. 13. Maintaining a patient’s health is more than providing medicine; it also includes providing emotional support. Countless research studies, beginning in the 1920s with identification of the placebo effect and continuing into the modern science of today, all confirm that disease progression and outcome can be negatively influenced by depression. Depression and anxiety disorders are far more prevalent in the sick and debilitated communities than in the general healthy populace. Providing movie nights, game nights, field trips, group activities, barbecues, etc., can significantly increase a patient’s sense of belonging to something, making them feel less alienated because of their medical condition. Research shows that individuals who feel a sense of belonging to something are less likely to become depressed than those who feel little- to-no attachment. 14. All dispensaries will be equipped with at least three forms of security methods. These security methods can include: a. Day/Night security cameras on backup generators b. Steel doors or solid wood doors with deadbolts c. A silent alarm at numerous easily accessible locations d. Pepper spray or a self-defense only form of equipment e. Bulletproof glass 15. No weapons will ever be allowed in any dispensary for any reason unless it is carried by law enforcement or an officially licensed armored vehicle service. This includes any type of knife longer than that found on nail clippers. If a patient brings a weapon into a dispensary for any reason the police will be notified. 16. All patients must call ahead and make an appointment prior to coming to the dispensary. No more than 3 patients per employee should be in the dispensary at a time. 17. No dispensary will display an advertisement for their company publicly on the building that

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suggests marijuana may be in the store. 18. No patients are allowed to medicate on the premises. A patient may try a single vaporizer inhalation. State laws prohibit smoking in public stores. While the dispensary is not open to the public, it is still a good practice as it protects patients whom choose not to smoke marijuana. An important consideration in this regard is comparable to liability of bars and drunk drivers. If a patient were to medicate at a dispensary then cause an accident, that dispensary owner will be held liable just like a bartender who sold too many drinks to one person. 19. Dispensaries are encouraged to set up an indigent program. Such a program should support a lower cost payment option for patients on Medicare, Medicaid, or low-income patients with families. 20. If a patient is under the age of 21 they must have both their parents consent before assigning a dispensary as their caregiver. 21. In order for a dispensary to service a client, the client must be a member. Merely being a licensed patient is not sufficient. A bona fide contractual relationship must exist. 22. When patients come to the dispensary for products, there is a 20-minute maximum time limit per visit. This does not apply to special events or pre-arranged meetings. 23. Have a unique set of rules & regulations that best fits the needs of your patient base (no profanity, dress code for employees, etc) and have these rules on a poster board for easy viewing. Patients need to feel comfortable & secure in their treatment and treatment facilities. Tailoring a set of rules & regulations ensures this comfort & safety. 24. Check inventory daily. Know which employee is handling what material and when. Have a password entry Point of Sale system to track inventory handling to identify theft. 25. Never keep more than a days worth of inventory out on display in the dispensary. Always keep excess inventory in a sturdy safe that is either bolted or set in the foundation of the facility. 26. Get a state attorney on retainer prior to opening the dispensary doors. Have a contract designed stating the attorney will only advise you on maintaining legal compliance with the state. Go over entire dispensary concept with the attorney. Only do activities condoned by the attorney. 27. Periodically use a microscope to identify that the trichomes are intact and that kiefing is not occurring by your employees. 28. A dispensaries pricing should be stable, consistent, and well below typical recreational

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street prices. When a patient chooses to use marijuana as medicine, they put themselves in legal danger. Thus, it is illogical for a sick individual to choose a medicine that costs more than conventional pharmaceuticals while simultaneously putting themselves in harms way. 29. The dispensary will use a computer to notify employees one month before a client’s medical marijuana license expires. The client should be made aware of their need to re-apply. Pre- viously registered patients who are not in possession of a current license are no different than non-licensed individuals and dispensary workers must not distribute any materials to that person until licensed. 30. Products should be tested when questionable for mold, insects, or bacteria. Indeed, several outbreaks have occurred whereby teenagers have died from fungal contamination of the lungs from smoking moldy cannabis. A small sample from each plant may be tested via a “Gram stain” or mold toxin dye. a. Performing a Gram stain: i. Create a slide smear with the most potentially contaminated sample of cannabis from your batch ii. Add several drops of crystal violet dye, wait ~ 20-40 seconds. Gently remove thedye with purified water. iii. Add iodine for 60 seconds, then gently wash with purified water again. iv. Add several drops of decolorizing agent until no visible dye remains on the smear. v. The dye basic fuschin is used to counterstain. After a 60 second wash with basic fuschin, gently wash with purified water and spot dry with bibulous paper. vi. Gram + bacteria presence is indicated by blue-stained bacterial cells, whereas Gram – bacteria will stain pink. b. Performing mold identification testing: i. Aflatoxins and fumonisin testing kits are available through multiple biotech companies over the internet. Kits specifically designed for plant and grain materials should only be used, as some test kits are designed to use blood, serum, and urine as the media. Products should have as consistent a dosage as possible. Therapeutic efficacy can only be achieved with repeatability of desired effects. This is an especially important factor when considering that numerous clinical effects of cannabinoids, which include THC, are biphasic in nature. Biphasic refers to a chemical having opposite effects on the body when administered in different doses. Biphasic responses may explain diagnostic testing-variation in various clinical trials, including appetite, heart rate, blood pressure, anxiety, and depression. a. When preparing medicated baked goods, titration of a consistent dosage is especially important. Many producers of baked goods make medicated butter. For health reasons, it is suggested to switch to olive oil, which not only reduces cholesterol but also increases natural endocannabinoids that reduce inflammation.

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When preparing medicated olive oil, two approaches may be taken: 1. 1 part water + 3 parts olive oil + dissolved hash oil. Use a separation funnel to remove the water. This process removes sugars and hydrophilic constituents from the olive oil. While slightly less potent in medical strength, patients generally find it to be better tasting and more uplifting, non-drowsy. 2. All olive oil and dissolved hash oil. Patients still find the olive oils to be more uplifting than butters, however, this non-water method is more sedative than the above method. 3. Having an efficient hash making technique is essential to dosing medicated foods. Cooking leaf material is unreliable for consistency, as butter/oil remains in the leaf; each batch of leaf may be more/less potent than the next. While each batch of hash will have varying concentrations of chemicals, using the same quantity of hash each time significantly lowers the margin of variation between batches. A dispensary should ultimately be designed in a similar fashion to a pharmacy, but with a wider range of holistic treatment options and a higher level of personal care. A true caregiver relationship relies on a personal understanding of the patient’s needs, not what has the highest yield, most psycho-activity, shortest harvest time, etc. For more information on proper dispensary guidelines and important information for dispensary owners, the below citations provide an excellent source of diversified opinion. Indeed, no one group has united a generally accepted regulatory guideline for dispensaries. For this reason, it is imperative that communications begin between dispensary owners and law enforcement to ensure safety for the sick and debilitated. 1. Grinspoon, Lester. 2001. On the pharmaceuticalization of marijuana. International Journal of Drug Policy. 12: 377-383. 2. Thomas, Huw. 1996. A community survey on the adverse effects of cannabis use. Drug and Alcohol Dpendence 42: 201-207. 3. Ware, Mark, et al. 2006. Evaluation of herbal cannabis characteristics by medical users: a randomized trial. Harm Reduction Journal 3: 32-38. 4. O’Connell, Thomas, et al. 2007. Long term marijuana users seeking medical cannabis in California (2001-2007): demographics, social characteristics, patterns of cannabis and other drug use of 4117 applicants. Harm Reduction Journal 4: 16. 5. Korf, Durk, et al. 2007. Differential responses to cannabis potency: A typology of users based on self-reported consumption behaviors. International Journal of Drug Policy 18: 168-176.

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MARIJUANA AS MEDICINE Marijuana has been used for thousands of years as both a medicine and intoxicant. While many marijuana users believe the plant to be relatively harmless; many believe that no one has ever died from marijuana. This is not fact. Below are documented cases of individuals dying from the use of marijuana. Understanding the circumstances surrounding the deaths of these patients is an essential tool for the dispensary worker and owner. Patients with cardiovascular diseases should take special care when trying new medicines derived from marijuana. 1. Tatli, Ersan, et al. 2007. Cannabis induced coronary artery thrombosis and acute anterior myocardial infarction in a young man. International Journal of Cardiology 120: 420-422. 2. Lindsay, Alistair, et al. 2005. Cannabis as a precipitator of cardiovascular emergencies. International Journal of Cardiology 104: 230-232. An important observation that strengthens support for the need to develop specific medical strains is the fact that the non-psychoactive cannabinoid CBD may actually prevent these cardiovascular emergencies that have occasionally occurred from cannabis use. These deaths were likely caused by a low CBD, high THC strain. 1. Hayakawa, Kazuhide, et al. Cannabidiol prevents infarction via the non-CB1 cannabinoid receptor mechanism. Neuropharmacology and Neurotoxicology 15: 2381-2385.

SIDE EFFECTS OF MARIJUANA USE If a drug has the ability to change physiology for the better in one type of disease pathology, it is only logical that it will have the potential for harm in other types of physiology that may not need altercation. For this reason, marijuana must be respected as a drug despite the recreational beliefs that it is not harmful. There are far too abundant of rumors concerning marijuana use: propagated both by media and the federal government (marijuana causes permanent insanity, makes men’s penis’ shrink, etc). There are legitimate concerns about long-term marijuana use that must be taken into consideration when deciding to use the plant medicinally. The following is a list of research- derived side effects that can happen to marijuana users: • Anxiety, panic attacks • Exacerbate schizophrenia in predisposed individuals • Increase chances of lung infections • Depersonalization, amotivational syndrome 1. Campbell, F.A., et al. 2001. Are cannabinoids an effective and safe treatment option in the

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management of pain? A qualitative systematic review. Br. Med. J. 323, 13–16. 2. Leweke, F.M., 2002. Acute effects of cannabis and the cannabinoids. In: Grotenhermen, F., Russo, E. (Eds.), Cannabis and Cannabinoids. Pharmacology, Toxicology and Therapeutic 3. Potential, The Haworth Integrative Healing Press, New York, pp. 249–256. 4. Leroy, S., et al. 2001. Schizophrenia and the cannabinoid type 1 receptor. Amer. J. of Medical genetics Despite marijuana’s ability to induce harmful side effects, many people of hundreds of disease types have claimed to find therapeutic benefit to its use. In the past few decades the medical and scientific communities have discovered numerous mechanisms by which the components of marijuana can both alleviate and cure certain diseases. In the past month, the American College of Physicians, the nations second largest collaborative of medical doctors, published a formal 13 page statement whereby they claim: “Evidence not only supports the use of medical marijuana in certain conditions but also suggests numerous indications for cannabinoids. Additional research is needed to further clarify the therapeutic value of cannabinoids and determine optimal routes of administration. The science on medical marijuana should not be obscured or hindered by the debate surrounding the legalization of marijuana for general use.” Marijuana is a complex mixture of literally hundreds of chemicals, dozens of which have been identified to have anti-inflammatory, analgesic, sedative, stimulatory, depressant, and anti- depressant activities. Again, the author’s emphasize the need for dispensaries to use consistent growing parameters and dosaging in alternative products to ensure reproducibility in effects and thus minimize harmful side effects.

WHY USE MARIJUANA? Despite fears of federal prosecution, patients continue to use medical marijuana to alleviate their conditions. For some patients, discovery of marijuana’s therapeutic use came from recreational experiences with the plant while experiencing pain, nausea, or some other condition that caused discomfort. For others, they tried numerous FDA approved pharmaceuticals and either did not find satisfactory results or could not bear the side effects. Individual patients often describe similar undesirable side effects from their pharmaceutical medications. In a macroscopic analysis, these complaints represent but a small fraction of an overwhelming epidemic plaguing our nation’s medical industry. “Death by Medicine” was published in 2007 by five medical doctors and PHDs. It is a complete 28-page documentation of epidemic problems with the current American medical system. The statistics below were collected across the country:

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• 2.2 million hospitalizations each year from adverse effects to prescription drugs • 7.5 million unnecessary surgeries per year • 8.9 million unnecessary hospitalizations yearly marijuana. American medical system found to be leading cause of death in US at 783,936 deaths compared to 699,697 from heart disease in 2001 The authors further state in the introduction: “Natural medicine is under siege, as pharmaceutical company lobbyists urge lawmakers to deprive Americans of the benefits of dietary supplements. Drug-company front groups have launched slanderous media campaigns to discredit the value of healthy lifestyles. The FDA continues to interfere with those who offer natural products that compete with prescription drugs. These attacks against natural medicine obscure a lethal problem that until now was buried in thousands of pages of scientific text. In response to these baseless challenges to natural medicine, the Nutrition Institute of America commissioned an independent review of the quality of “government-approved” medicine. The startling findings from this meticulous study indicate that conventional medicine is “the leading cause of death” in the United States .The Nutrition Institute of America is a nonprofit organization that has sponsored independent research for the past 30 years. To support its bold claim that conventional medicine is America‘s number-one killer, the Nutritional Institute of America mandated that every “count” in this “indictment” of US medicine be validated by published, peer-reviewed scientific studies. What you are about to read is a stunning compilation of facts that documents that those who seek to abolish consumer access to natural therapies are misleading the public. Over 700,000 Americans die each year at the hands of government-sanctioned medicine, while the FDA and other government agencies pretend to protect the public by harassing those who offer safe alternatives. A definitive review of medical peer-reviewed journals and government health statistics shows that American medicine frequently causes more harm than good.” This is not to say that just because something is natural that it is healthier than a pharmaceutical. However, natural alternative medicines of whole-plant extract origin do have unique properties ignored by conventional medicine due to the need for scientific methods. FDA approved pharmaceuticals must be exactly titrated dosages of a single active ingredient, or combination of known ingredients. Below is a list of chemicals in marijuana: 1. Cannabinoids: 78 known as of 2008. 2. Terpenoids: 103 known 3. Fatty Acids: 12 known 4. Non-cannabinoid Phenols: 16 known 5. Flavanoids: 19 known- these are potential antioxidants

CANNABIGEROL Many of the cannabinoids and terpenoids found within marijuana work together to create an ad-

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ditive effect called synergy. Synergy refers to an increased effect caused by combining two or more drugs, an effect that could not be caused by either drug alone. Synergy of cannabinoids is supported by the fact that Marinol (synthetic, pure THC), has a higher incidence rate of panic attacks and paranoia than clinical studies utilizing whole marijuana plant. The following list describes comparisons in medical efficacy of marijuana constituents to conventional medications, in addition to illustrating point of potential synergy: 1. CBD, CBG, CBN, B-myrcene(terpenoid), quercitan(flavanoid), and cannflavin A, are but a few constituents other than THC that exert anti-inflammatory effects. 2. Cannflavin A is 30x more potent than aspirin in reducing inflammation in rheumatoid syno- vial cells (arthritis model). 3. THC has 20x anti-inflammatory effects of aspirin, twice that of hydrocortisone 4. CBD has anti-inflammatory properties at lower doses than aspirin 5. Quercitan is a powerful antioxidant. Also found to be anticarcinogenic and anti-inflammatory, which may mitigate the potential for marijuana smoking tocause lung cancer. • Source: Chapter 7 of “Medical uses of cannabis and Cannabinoids”, Geoffrey Guy, 2004. Anandamide is what the human body produces naturally that binds to the cannabinoid receptors. It is also what THC mimics to cause psycho-activity. Anandamide is what gives chocolate its mood elevating effects in some individuals. Marijuana is an extremely difficult plant to study for clinical effects due to the variation in the abundant amount of therapeutic chemicals. The scientific method applied to pharmaceuticals does not currently allow for synergistic therapies, likely because of their variation in outcome between individuals. Ultimately, the true therapeutic potential of marijuana remains untapped until a new scientific method is developed to identify clinical outcomes with varying quantities of multiple chemicals.

A FEW WORDS FROM THE FDA AND NIH Ironically on April 20, 2006 the FDA made a press release stating: “Marijuana is listed in schedule I of the Controlled Substances Act (CSA), the most restrictive schedule. The Drug Enforcement Administration (DEA), which administers the CSA, continues to support that placement and FDA concurred because marijuana met the three criteria for placement in Schedule I under 21 U.S.C. 812(b)(1) (e.g., marijuana has a high potential for abuse, has no currently accepted medical use in treatment in the United States, and has a lack of accepted safety for use under medical supervision). Furthermore, there is currently sound evidence that smoked marijuana is harmful. A past evaluation by several Department of Health and Human Services (HHS) agencies, including the Food

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and Drug Administration (FDA), Substance Abuse and Mental Health Services Administration (SAMHSA) and National Institute for Drug Abuse (NIDA), concluded that no sound scientific studies supported medical use of marijuana for treatment in the United States, and no animal or human data supported the safety or efficacy of marijuana for general medi- cal use. There are alternative FDA-approved medications in existence for treatment of many of the proposed uses of smoked marijuana.” What is interesting is that wording is careful to only specify “smoked” marijuana. Devices are now available called vaporizers. Vaporizers do not use fire for the combustion (burning) of marijuana. Instead, they use heat to vaporize the medicinal materials without causing the formation of carcinogens. Studies have unequivocally confirmed the effectiveness and safety of vaporization. • Hazekamp, Arno, et al. 2005. Evaluation of a vaporizing device (VolcanoR) for the pulmonary administration of tetrahydrocannabinol. Journal of Pharmaceutical Sciences 95: 1308- 1317. It is also noteworthy that the FDA statement mentions the National Institute of Health. Apparently, there is no sound evidence that marijuana has therapeutic potential, but abundant research to support its harmful side effects. One would have to question the validity of the sci- ence that supports these potential harms if they were performed by the National Institute of Health, as this government funded organization published research proving that the psychoac- tive component of marijuana, THC, has a greater antioxidant capacity than both vitamins A and E. These findings occurred eight years prior to the FDA statement that no valid scientific research supports medical marijuana! • Hampson, AJ, et al. 1998. Cannabidiol and (-)∆9-tetrahydrocannabinol are neuroprotective antioxidants. Proceedings of the National Academies of Science 95: 8268-8273.

CONCLUSION

Arizona, along with 16 other states have now legalized the use of marijuana for medical purposes. Given that it remains federally illegal despite patients, researchers, and doctor’s pleas for re-classification, it is up to dispensary owners and caregivers to represent this growing movement with ethics, consistency, and legality when possible. As a relatively unregulated industry dispensaries will progress in an exponential and profit-oriented fashion. As an alternative therapy that poses numerous risks, both medical and legal, it is essential that dispensary owners expand availability of cannabis medicines in a fair and appropriate manner. This presentation was designed to educate both dispensary owner and law enforcement. Communication between these two groups is essential to the health and well being of patients. The authors do not make claim to performing any illegal activities and merely provide these materials as a means to initiate a safe, well-rounded business model that maximizes benefits to all the citizens of the states in which medical marijuana is allowed. We thank you for your interest in this topic and welcome your input.

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Business Plan “Elements’ Mission is to consistently provide our patients with access to legally recommended, quality cannabis as an element designed to enhance the other naturopathic and conventional therapies used to treat their debilitating illness. The dispensary will offer the security of SmartVend™ technology while creating a sensory experience for mind, body and spirit in a warm, inviting environment staffed by a professionally trained, caring and knowledgeable staff.”

Industry Analysis

Although the medical marijuana dispensary industry is only a decade old, it is growing nationwide at a phenomenal rate. As persons born between 1946 and 1964, the “Baby Boomers,” begin to experience debilitating illnesses, they are receptive to the medicinal benefits of medical marijuana to alleviate pain. Based upon the limitation on the number of dispensaries in Arizona (124), and based upon a comparative analysis with neighboring states where medical marijuana has been legalized, it is projected that an average Arizona dispensary may earn as much as 4-7X that of an average dispensary in Colorado that has app. 700 dispensaries or California that has in excess of 1,200 dispensaries. AZ Population 6,596,000 (app). # of Clinics 124

State Statistics and Projections:

% of Pop. 2.25%

Potential Patients 147,000 (estimated)

# of Patients/Dispensary 1,100 patients

Total Monthly Revenues $24.45 million (estimated)

Avg. Sale/Patient/Dispensary Monthly $ $500 per month $550,000 app.

Hours of Operation

In accordance with the City of Phoenix Medical Marijuana Zoning Requirements, this facility will be open Tuesday through Saturday from 10:00 a.m. to 6:00 p.m. and Sundays 11:00 a.m. to 4:00 p.m.

Layout

Elements will have a branded look that incorporates the organic retail environment with the underlying health and wellness purpose of a medical marijuana Dispensary. Elements will be comprised of a retail point of sale counter, SmartVend wall and concierge desk. Staff uniforms will be colorcoordinated light green medical “scrubs”, a personalized t-shirt or a monogrammed long white lab coat. The flooring will be comprised of a light bamboo tile that will harmoniously blend with the light pale green walls and Elements Therapeutic Dispensary

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chocolate espresso counters. Although licensee will be well lit, accent lighting will abound creating a warm and inviting environment. The accent lighting and light color palette will enhance the deep green plants and organic design.

System in a Nutshell

The heart of the ETD system is its SmartVend™ technology that incorporates the cashless transaction system, patient confidentiality records, biometric safeguards and electronic signature verification with automated medicine vending monitored by trained staff. Since the collection of cash and the vending of the medicine is automated, the staff’s focus is on customer service, patient verification and state compliance. The primary assets – the Cash and the Cannabis are automated in a tamper-proof system. The competitive advantage of the Elements Dispensary is the seamless patient flow. Although there are numerous inherent safeguards and safety measures in place, the entire process will appear seamless to the patient. In a nutshell, a typical Elements transaction will flow as follows: 1. The patient will enter the Dispensary, being monitored by the consultant who greets him/her at the door. The patient’s activity is monitored throughout the store’s wireless video security system. The rules of admission are clearly posted, indicating the conditions of admission. Rules of Admission: Please Read the Following RULES OF ADMISSION Prior to Entering You are entering Elements Therapeutic Dispensary. YOU MUST BE A PATIENT LICENSED BY THE ARIZONA DEPARTMENT OF HEALTH SERVICES TO ENJOY ANY OF THE BENEFITS OF THE DISPENSARY. PERSONNEL ACCEPT NO CASH WHATSOEVER AND HAVE NO ACCESS TO MEDICINE. Elements Therapeutic Dispensary

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All Medicine dispensed in an Elements Therapeutic Dispensary is dispensed through the Elements SmartVend™ wall. PERSONNEL HAVE NO KEY ACCESS TO EITHER CASH OR CANNABIS. All Medicine dispensed in an Elements Therapeutic Dispensary has been registered and tested and has received a Silver Certification of 100% Quality issued by an independent third party. No firearms are permitted in an Elements Therapeutic Dispensary pursuant to ARS §13-3102. No loitering is permitted inside or outside of the Elements Therapeutic Dispensary. No smoking or ingestion of Medicine is permitted inside or outside of the Elements Therapeutic Dispensary. Elements is monitored in a remote location. By entering this site, you consent to being video recorded on the Elements premises. Patients acknowledge that Cannabis remains illegal under Federal law. Elements Therapeutic Dispensary strictly honors the terms, conditions and spirit of the Arizona Medical Marijuana Act (AZMMA). Elements Therapeutic Dispensary reserves the right to refuse service to any Patient at any time. 2. If a first time visitor, the patient will register with the consultant at the main counter, providing a valid state ID medical card. The consultant will log into the system and the patient will also be asked additional health/caregiver questions that will be used to create a confidential patient profile. Upon verification of the patient’s credentials, and creation of the patient profile in the system, the patient will record his/her fingerprint biometrically. Once that information is received, a unique, encrypted SmartCard will be issued to the patient. If the patient intends to pay by cash, credit or debit, he/she shall load value on the SmartCard in the Dispensary’s SmartVend™ machine. No cash is ever accepted by staff in the Dispensary. 3. If the patient is a repeat patient, he/she will proceed to the main counter with the following documentation: a). previously issued SmartCard and state medical ID card. The staff will log into the system, verify the SmartCard, discuss any issues with the patient and have the patient biometrically imprint his/her fingerprint. The patient’s fingerprint will be verified against the patient’s profile. If the patient intends to pay by cash, credit or debit, he/she shall load Elements Therapeutic Dispensary

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value on the SmartCard in the Dispensary’s SmartVend™ machine. No cash is ever accepted by staff at any dispensary with Elements technology. 4. The staff will discuss cannabis strains, potency, concerns and effects with the patient. The patient will be able to smell and view the cannabis in very small quantities contained in magnified acrylic cubes on display in the front counter. The current week’s cannabis offerings (app. 12 strains) (with descriptions, THC levels, etc.) will be discussed as well. The staff will retain the patient’s state ID card and SmartCard until the medicine is dispensed. 5. Once the patient has decided upon a strain of medicine, the consultant will escort the patient to the SmartVend machine where the medicine will be dispensed. 6. The patient will input his/her SmartCard into the SmartVend™ machine which will eject the medicine in a pre-packaged, sealed and labeled canister, prepackaged in bar coded 1/8 oz, 1/4 oz., 1/2 oz quantities. 7. The patient will bring the dispensed cans to the counter at which time the patient can analyze the medicine for quality under a microscope. The consultant will discuss methods of delivery and the benefits of other items in the Dispensary. Once the patient has completed the transaction, the consultant will debit value from the SmartCard, barcode the medicine and will seal the bag with a tamper-proof label indicating the medicine has a 100% Quality Seal of Certification.

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Competitive Advantages and Analysis

Competitive Advantages There are numerous competitive advantages to Elements’s business model. Elements will be incorporating the Elements Therapeutic Dispensary business processes into its operation to ensure operational success, The system has been designed to exceed compliance standards while offering a pleasant, professional and secure experience for the patient. Elements will strive to be a community partner and “good neighbor.” Moreover, Elements has secured a location at 12620 N. Cave Creek Rd., Suite 1, Phoenix, Arizona. It has a three (3) year lease with automatic renewals of three (3) year terms. This location is strategically located in the Paradise Valley Village CHAA at the corner of Cave Creek and Cactus. The neighboring CHAA’s are Desert View (#42), Deer Valley (#44) and North Mountain (#52). As of March 2012, there were more than 3,500 registered patients in those CHAA’s or more than 11.4% of the total number of registered patients. Through careful study of proposed regulations and case study of the best practices of licensed dispensaries in other states, Elements is confident that no other prospective applicant can exceed our standards. Elements fully expects to become the benchmark of superior operational standards not only through-out the state, but across the nation. Some of our competitive advantages are delineated below. •

Security. Our first and foremost concern. Layered but unobtrusive security measures protect the patients, staff and community. The plan provides for a “cashless” environment by the use of a biometric smartcard, which acts as a deterrent from theft and internal breaches. Biometric safeguards throughout the location ensure safety and prevent unauthorized transfer of medicine. Each location employs wireless video security system which is remotely monitored.

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Quality of medicine. Deviating from the conventional dispensary model where medicine is routinely found openly displayed in glass jars, Elements’s medicine is stored in a humidity-controlled safe which is bolted to the floor with bullet proof window and motion sensors. It is common practice in most dispensaries for medicine to be handled by prospective patients so that it becomes contaminated and breaks down from human touch. During the patient’s selection process, patients can view small quantities of available medicine contained in magnified acrylic cubes. Once a patient’s medicine is dispensed through the SmartVend® vending method, that patient is invited to inspect their selection through the magnified viewing system to ensure satisfaction.

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•

Proven system. Elements Caregiver Collective has been operating under the current rules of the AZMMA. As such, its operational experience in the field cannot be underestimated. The Elements model has had the benefit of operating as a compliant collective of caregivers during the dispensary model delay. The collective was operated as a dispensary with the marked exception being that it received medicine from licensed cultivating caregivers. This “trial run” provides a competitive advantage and invaluable data on patient records, inventory tracking etc. that is beneficial to Elements as the applicant. Our technology and business model had already been successfully “field tested.”

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Scalability. Concomitant to our already successful system, the Elements model was developed to be well-documented and reproducible quickly and smoothly. Elements has licensed software, systems and processes that will ensure that it will open its site in a timely, efficient and compliant manner, negating the need for the state to renew caregiver and/or patient cards that are “authorized to cultivate”. As a result, the Arizona Department of Health Services can be assured that given these significant competitive advantages, Elements will operate a successful, compliant facility.

As of this submission, Elements is one of three (3) applicants in the Paradise Valley Village CHAA. Its site is a 1,900 square foot site that has received a use permit, has entered into a lease and has already been built out to comport with Department of Health dispensary requirements. Consequently, Elements is prepared to seek authorization from the state to open its dispensary within 24-48 hours of approval, negating the necessity for the state to renew “authorized to cultivate” cards to the numerous patients and/or caregivers who will be seeking to retain their cultivation rights. Competitive Analysis The other applicants in the Paradise Valley Village CHAA have selected sites that will require significant renovations, mandating additional delays. Moreover, since the use permit was issued for Elements’s site, a church has moved into the area well within 500 feet of the sites submitted with competing applications. While the location of the church does not adversely affect the grandfathered use permit, it would negate the ability of the affected applicants to secure a use permit for the site. Since there are admittedly limited sites available in this CHAA, those applicants would incur further delays as they seek an alternative location, apply for a use permit, begin renovations and prepare to open – requiring the state to continue to issue “authorized to cultivate” rights to patients and/or caregivers who will apply for renewal. Elements Therapeutic Dispensary

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Product Cultivation and Quality Control

Elements will initially receive its medicine from cultivating caregivers who have been licensed by the Arizona Department of Health Services. Once the medicine is harvested, Cultivation Management Services will meet with the cultivating caregiver and will inventory, weigh and snip a sample for testing. This process will ensure that each Dispensary’s medicine meets the most stringent of quality control standards. Once delivered in 10 oz or less sealed bags, the medicine can be temporarily stored in the Dispensary’s safe. The medicine will then be packaged in pre-weighed sealed containers and then bar-coded for storage in the SmartVend™ machine. Product Variety: Varying cultivation conditions will determine the specific strains of cannabis available in the Dispensary at any given time. Elements will offer a minimum of twelve (12) types of top grade cannabis in the Dispensary on a weekly basis. Regardless of the strains cultivated and dispensed to the dispensary’s patients, all medicine must meet the stringent quality control requirements of Cultivation Management Services to ensure that the patient receives consistently superior quality medicine, securely packaged, for reasonable rates. Medibles: Elements will also offer premium cannabis medibles under the trade name of PURE BLISS Medibles™. The freshly made, pre-packaged premium products will range from cannabutter, frozen cookie dough, soups and popcorn. It is projected that app. 40% of Elements’s transactions will consist of medibles. Production Plan: Due to the delays in the roll-out of the dispensary model, Elements will initially acquire medicine through a network of licensed, cultivating caregivers who are currently growing for their patients. These caregivers will continue to grow until the time for the renewal of their AZDHS cards. Elements will then cultivate its cannabis in a rented cultivation center zoned for cultivation. Elements proposes to establish a commercial cultivation production facility in Phoenix, Arizona. It is projected that the cultivation site will maintain less than 98 plants in rotation. This self-imposed plant limitation is to ensure that Elements does not exceed the Federal Guidelines for mandatory sentencing and falls well within the parameters of a “large grow facility”. The plants will be grown hydroponically in 8” x 4” grow trays for vegetative plants. Elements will utilize efficient and advanced hydroponic cultivation techniques in anticipation of a harvest 4 times per year, producing app. two (2) ounces per plant.

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Elements will retain experienced, licensed dispensary agents operating in a state of the art, monitored cultivation site, ensuring that the projections are reached. Moreover, Elements will acquire the yields from caregivers who are currently authorized to cultivate, further reducing the amount of medicine currently available in the state. This absorption of the medicine will comport with the objectives of the state by monitoring and tracking medicine that has been cultivated since the inception of the program and that could potentially be illegally diverted outside of the dispensary program. Cultivation Production and Controls: The cultivation of the cannabis will be done off-site in a fully contained facility. The company will contract with the independent third party company, Cultivation Management Services to ensure that it remains compliant at all times. All cannabis will be monitored by weekly inspectors, recorded and tested for quality control. Test results will be shared with the University of Arizona agricultural school to create a database of THC properties. Only cannabis that has been certified 100% quality will be sold in License’s dispensary. All unusable cannabis will be incinerated and documented by Analytical Arizona labs. Reporting will be available for the state officials through real-time online reporting. Inventory Tracking/Certification: All medicine will be barcoded and tested by AZ Med Testing. The testing will generate a report, showing the THC, CBD and CBN levels. In addition, an independent third party – Cultivation Management Services will verify that the medicine has been grown under legal conditions meeting stringent quality control requirements to ensure that the patient receives consistently superior quality medicine, securely packaged, at a competitive price. Packaging Controls: Elements will ensure that the medicine sold in its dispensary is of the highest quality and that there is a recorded chain of custody. Consequently, all finished products will be weighed and packaged in airtight pop top cans at the packaging center under strict supervision. The cannabis will be packaged in 1/8 oz., 1/4 oz and ½ oz cans. The cans will then be sealed with a shrink wrap band and barcoded for delivery to the dispensary. Initial Inventory: Elements will rotate medicine weekly. In addition to the rotating strains the collective will offer a staple of quality medicines widely recognized for their medicinal value.

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OG Kush OG Kush is a Sativa Dominant Hybrid which is very popular amongst patients. Despite its name, this strain is not a "Kush" although it does posses some indica traits and is rumored to have some Kush in its genetic heritage. OG Kush is very potent and has long-lasting psychoactive effects. White Widow The White Widow is a Sativa Dominant Hybrid. White Widow is a cross of an Indian Indica and Brazilian Sativa. A strong pungency smell first hits, followed by a sour sweetness and has strong psychotropic effects. This medicine is best for patients suffering from severe and chronic pain, anxiety, stress, lack of appetite and insomnia. Chocolope This 60% Sativa Hybrid has a juicy fruit gum with hint of skunk smell. Good for day or night time use. The strain will provide an energetic effect, stimulating creativity. Good for pain relief, relaxation and appetite stimulation.

Blue Dream A Sativa Dominant Hybrid, Blue Dream is ideal for patients suffering with insomnia. It will create a complete feeling of relaxation and comfort and will aid patients in melting stress from the body as well as the mind.

Grandaddy Purple This 100% Indica strain derives from the purple cannabis family. It will provide tremendous pain relief for patients in severe and chronic pain. Patients should expect to become extremely tired when medicating with this strain.

Harlequin Harlequin is a Sativa dominant hybrid that comes from strains native to Asian countries. A rare find, it is excellent for relieving a patient’s pain due to its high CBD content.

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LA Confidential LA Confidential is a 100% Indica strain and is a pure Indica descendant of O.G. LA Affie and Afghani. The scent of LA Confidential is sweet and piney and both of these traits carry over to the taste. This extremely potent medicine is best for patients seeking pain relief and treating insomnia, appetite stimulation, and general anxiety.

Jack Herer Jack Herer is named after the late hemp proponent. It is Sativa Dominant, and is light green in color with light orangish brown hairs covering it. The Jack Herer strain is well known for both its cerebral psychotropic effect as well as its very strong body effect. Jack Herer can cause dry mouth, dry eyes, paranoia, anxiety and dizziness so home use is best. Krypotnite A 100% Indica, Kryptonite derives from the OG Kush. The taste is very smooth, although it may have a chemical aftertaste. The medicine's effect is immediate, very long lasting and will make the patient very slow and focused on one thing. The medicine is effective for the treatment of stress, pain relief, insomnia, anxiety. The cannabanoids in the medicine carried by Elements will focus on the CBD’s, which directly affect pain receptors. CBD is abbreviation, that stands for Cannabidiol. Cannabidiol has NO psychoactive properties, meaning, it does not produce a “high” or feeling of euphoria. CBD does however have some very positive effects for the medical cannabis patient.

SmartVend Technology: The heart of Elements’s system is the SmartVend™ technology. This proprietary, customized technology incorporates a cashless transaction system, biometric safeguards and fingerprint verification with automated medicine vending monitored by trained, licensed dispensary agents. Since the collection of cash and the vending of the medicine is automated, the agent’s focus is on customer service, patient verification and state compliance. While customer service will be comparable to a conventional dispensary, the primary assets – the Cash and the Cannabis -- are automated in a tamper-proof system. The competitive advantage of Elements’s dispensary is seamless patient flow. Although there are numerous inherent safeguards and safety Elements Therapeutic Dispensary

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measures in place, the entire process will appear seamless to the patient. [See 5(c). Policies and Procedures – Security Plan.

Software Technology

Elements’s customized touch-screen Point of Sale system which networks smart card technology and biometric verification will ensure that there are no undetected security breaches and that the confidentiality of the patient’s records are maintained in accordance with HIPAA guidelines. The system will be directly linked to the state’s patient registration system and will require that the staff log into the system, date and time stamping the entry prior to accessing patient records. Licensees’ confidential patient records will be stored off-site on the company’s server which will significantly mitigate the possibility of a breach of security at the POS. Since no cash is accepted on-site, the POS system will not accept any cash transactions. Further, an impression of the patient’s biometric fingerprint will be stored and upon completion of the transaction, the patient will be required to sign an electronic signature pad that compares the signature with the patient’s signature on file. The bar coding system will verify the amount of medicine dispensed and will provide one last safeguard to ensure that the amount received is the amount prescribed. Upon completion of the transaction, a wide array of real time reports can be generated at any given time. In short, state of the art technology coupled with customized, proprietary software, a well-trained staff and the SmartVend™ system will ensure that the Dispensary’s security protocols are consistently adhered to and that the Dispensary remains state compliant.

Patient/ Non-Profit Marketing Programs

Patient Demographics: Based upon the research garnered while operating the Elements Caregiver Collective, the demographics of the patients is as follows: Race: Gender: Average Age: Primary Illness: Average Visits/Month: Average Expenditure:

Caucasion Predominantly Male 54 years of age Severe and Chronic Pain as a result of surgery or injury 2.2 $562.00 (patients only reimbursed for expenses based upon the collective model)

Elements has obviously attracted the more mature patient demographic who is genuinely seeking Cannabis as an alternative method of medicating to treat their debilitating illness.

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VIP Points Program: The VIP Points Program is available to all patients who acquire medicine in the dispensary. The program will provide VIP Points’ that can be redeemed at any dispensary that operates utilizing the Elements technology. Further, VIP members will be invited to exclusive, invitation-only events, special book signings by authors committed to patient education, Cooking with Cannabis lessons, and will receive periodic % off discounts for newsletter subscribers, etc. Patient Appreciation Events: Elements will participate in hosting regular Elements patient events to further connect with its patient base. These events will feature industry professionals, vendors and discounted/free recommendations. In addition, Elements will host a major event every April 15th, celebrating the annual anniversary of the inception of the medical marijuana program in Arizona. We believe that it is imperative that the distinction is made with the typical 4/20 events which primarily celebrate the use of cannabis for non-medical enjoyment and the significance of 4/15 in honor of medical marijuana.

Health and Wellness Programs: Elements is committed to addressing the overall health of its patients. It recognizes that medical marijuana is but one element in the therapies available. Elements will offer a full array of affordably priced retail vaporizers to help facilitate use of the medicine. Cannabis Infused Massages: Elements will provide cannabis infused topicals ranging from migraine treatment to muscle rub. In addition, the dispensary will promote in-home cannabis infused massages offered by dispensary agents who are licensed massage therapists (LMT’s). Research confirms that cannabis infused massages have had significant success at providing alleviation from pain for patients suffering from severe and chronic pain. Elements Therapeutic Dispensary

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Retail Products: Elements will retail health and wellness vitamins, facial products and select motivational books that will address the physical, spiritual and emotional component of health. Further, Elements will have a wide selection of premium and ionized waters, herbal teas and an oxygen bar, all designed with the health and wellness of the patient in mind.

Insurance Coverage

Elements will be insured with a comprehensive business insurance policy insuring it against all business hazards and occurrences up to $1,000,000.00. The coverage will be provided by Premier Southwest Insurance, a premier provider of MMJ insurance. [See Appendix C: Certificate of Insurance].

Dispensary Staff

The Dispensary Staff will largely be staffed by former non-cultivating staff members. The staff has a host of skills that will be beneficial to the patients.

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Board of Directors: The primary responsibility of Elements’s Board of Directors is to ensure it continues to comply with ever-changing state and local regulations. The board will serve as the highest governing authority within the dispensary. Any management pay scales, purchases, etc. will be governed by the board. Elements intends to further develop its board with prominent members from the medical and legal community. Management: The dispensary will be managed by an experienced and qualified manager, familiar with dispensary protocols. Elements will hire its personnel through the database maintained by Cannajobs.com. Cannajobs® pre-screens employees who work in the MMJ industry to ensure that only quality personnel are actively involved in the medicine. It is anticipated that a manager and assistant manager will be hired to oversee the daily operations of the dispensary. Staff Training: Effective staff training is of paramount importance to Applicant. Education regarding compliance with state laws, efficacy of different strains of cannabis, impact on specific debilitating diseases and options for delivery of the cannabis will be covered in weekly meetings, webinars and mandatory monthly trainings conducted by Cannabis Career Institute. Additionally, dispensary owners will jointly host monthly meetings with their Board of Directors to discuss updates on state policies, to address any issues/concerns, and to establish best practices for effective dispensary management.

Advisory Medical Board

The Medical Director for this site is Dr. Elaine Burns. Medical Protocols for the dispensary will be established by the Medical Director in collaboration with other members of the legal board. Legal Compliance with state and federal guidelines will be established by legal counsel. In addition to being available for patient interaction, Medical Director will develop medical standards for the use of the cannabis, conduct monthly educational seminars in conjunction with the dispensary owner and participate in continuing medical education related to cannabis advancements. Legal Counsel will provide ongoing educational support to patients as well as dispensary staff and the medical board, and will monitor ongoing operations to ensure that protocols and processes are being followed.

Financials

Projected Monthly Expenses: Since the Elements Therapeutic Dispensary model comports with the dispensary requirements and complies with state law by operating in a not-for profit manner. Elements Therapeutic Dispensary

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Monthly revenues will be expended to cover reasonable monthly expenses. Monthly salaries and will compensate dispensary agents for the loyalty and dedication that is critical to the success of the dispensary. Additionally, Elements will commit a substantial amount of its licensing fees to patient education and will make donations to other charitable organizations that recognize the palliative advantages of cannabis for patients with the identified debilitating illnesses. [See Appendix A: Financials]

Conclusion

Future prospects are extremely positive for Elements as the more than 72 million (72,000,000) Baby Boomers enter into their golden years and become more prone to debilitating illness By providing professional patient service in a compliant, cashless environment and by vending cannabis to qualified patients through SmartVend™ technology, Elements can create the perfect balance between security and patient appeal. Elements will emphasize the medicinal benefits of cannabis in a warm, inviting retail environment that is expected, if not demanded by the Dispensary’s target demographic. Collaborative advertising and promotions, economies of scale, efficient administration and duplicatable systems, state of the art security, ongoing staff training, community outreach and the inherent quality controls provided by co-op cultivation will ensure that a top quality product is consistently delivered at a competitive price. As a result, Elements will assuredly become one of the premier medical marijuana dispensaries in the state by which all other dispensaries will be judged.

Elements Therapeutic Dispensary

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Section 5 “Cooking For The Terminally Ill: Tinctures, Edibles & Concentrates”

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Cannabis Extracts    

Cannabis can be extracted in fat or oil in order to make edible and topical treatments. Cannabis can also be extracted in alcohol and glycerin for tinctures and topical treatments Make quality medicinal products from simple ingredients Nothing goes to waste from the cannabis plant 100% useable material

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Medicinal Products Tinctures – alcohol, and vegetable base  Oils – butter, olive oil, coconut, and hemp  Edibles - pastries, candies, and savory  Medicinal - body salves, lotions, and body & lip balms  Vaporizers 

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Methods of Medicating with Marijuana Many new patients wonder how to medicate with marijuana or how to take marijuana. There are several ways to medicate with marijuana.  Inhalation: Smoking  Inhalation: Vaporizing  Marijuana Edibles  Cannabis Tinctures  Cannabis Topical Solutions 

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Vocabulary             

Trim Shake Decarboxylation Flowers / Bud Tincture Honey Oil Wax Kief Edibles Salves Balms Herbal Extractors Vaporizing

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Not just for smoking… 

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   

There are many pharmacokinetic and psychoactive components of cannabis, such as THC, CBD, CBN and terpenoids. When patients smoke marijuana, the majority of these actives are destroyed in the high temperatures through a process call pyrolysis That means patients need more medicine to achieve the preferred results when smoking. Ingesting Apply onto skin Vaporizing

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Delivery Services Custom made to order Edibles, and Medicinal Products  100% Organic ingredients  Including Gluten free, Wheat free, and Sugar free options  Mineral oil free, Paraben free, Petroleum free 

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Summary     

Method options medicating with medicinal marijuana Terminology of marijuana plant components, byproducts, and uses Create delicious foods with cannabis extractions Make Medicinal strength lotions and balms for relief Made to order edibles, and pain relief products available for delivery

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Where to Get More Information Private and group instructions available  High Times online, 420Science.com, Medicalmarijuanastrains.com  Consulting services available 

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The means of ingestion also affects patients dosage. Smoked cannabis provides rapid and efficient delivery. “Vaporizing” it may require twice as much. Eating requires three to five times the smoked dosage. When eaten, cannabis effects are spread out over a longer period of time. This may be particularly good for sleep or situation where smoking is impractical.

TYPES OF CANNABIS MEDICINE Commonly referred to as “bud,” the flower of the cannabis plants are the most potent for the medical properties. The leaves of the cannabis plant also contain some cannabinoids, but in much lower concentration. The flower and leaves of the plant can be smoked, vaporized or used to prepare edibles.

HASH Hash or Hashish is manufactured by separating the trichomes (reddish “hair” that can be seen on dried cannabis flower) from the cannabis flower, to create a concentrated dose of this specific part of the cannabis plant. The trichomes are then processed into a relatively solid paste or block. Hash can be somewhat powdery or more solid and sticky, depending on exactly how it was processed.

KEIF Keif is also made from the trichome part of the cannabis flower. It is just the dried trichomes, without any future processing. It comes as a dry powder. It can be smoked or vaporized or used to make edibles. It is often sprinkled on the top of cannabis before smoking or vaporizing to augment the trichome content in the flower.

MATCHING SYMPTOMS WITH RIGHT MEDICINE Your job, as Budtender, is not to be diagnose the patient. Personal research with the approval of a physician is the safest way for any given patient to determine cannabis effects and potential. Your role as a Budtender is to help patient to identify the appropriate form, dosage. and means of ingestion. First look at what specific symptoms need to be treated, and then see if there are any negative effects that contraindicate cannabis use.

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CLASS: HOW TO COOK WITH CANNABIS



I.

II.

Benefits of Ingestion vs. Inhalation Brief Overview of Different Types of Cannabis a. Indica b. Sativa c. Hybrid

III. Safety Sanitation a. Preparation of utensils i. Importance ii. Basics IV. Measuring a. Doses of cannabis V. Hash a. Benefits b. How to make hash VI. How to Extract THC a. Tinctures i. Alcohol i. Safety b. Edibles i. Fats and Oils ii. Edibles iii. Examples of Recipes (edibles)

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FRIDAY’S BUZZIN’ BUTTER Here’s what you’ll need... 1 bag of shake (roughly ½ pound - 1 pound) Large cooking/stock pot (mine is a 4 gallon) 5 pounds butter or margarine cheesecloth for straining thick elastic bands empty plastic containers with lids (ice cream pails or large Tupperware work best) ladle or coffee mug rubber gloves or oven mitts It’s always best to use the best leaf you can find. The more potent the shake, the more potent the butter. Step 1: Put your 5 pounds of butter/margarine into the stock pot Step 2: Put in your bag of VERY dry shake (try to sift out any stalks or foreign matter) Step 3: Fill the pot with cold water leaving about 4 inches at the top for stirring. Step 4: Set your stove element to medium heat, leaving a slight crack open on the lid for steam to escape. Once the mixture comes to a boil, turn the heat down to low and simmer for at least 5 hours. (You can do it for longer but 5 hours is the minimum time to simmer). Step 5: Stir with a wooden spoon occasionally. Step 6: Take it off the element and let it cool for awhile. (Note: you only want to cool it as much as you’ll need to be able to handle it with gloves. The hotter it is. the easier it is to squeeze the butter out of the leaf). Step 7: Cut yourself some squares of cheesecloth and spread out your plastic containers. Put the cloth pieces over each container and secure it with the elastic bands. (I usually double up each bit of cheese cloth). Step 8: Take a ladle or coffee mug and scoop out some of the green mixture onto the cloth. Keep pouring until you get close (about 6”) to the top of the container. Then take the cheesecloth off and squeeze into the container as hard as you can to get the most

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butter out of the mix. Repeat into all containers until all of your green stew is out of the stock pot and squeezed into the containers. *Note: most of the butter is saturated into the leaves and that’s the part you want to ensure gets totally squeezed out of the mixture and into your containers. Step 9: Put the lid on your filled containers and place them on a level surface in your freezer. Step 10: After about 5 hours, the butter will solidify and some of the water will turn to ice. Take each container one by one over to the sink, take off the lid and with one hand supporting the ice block, turn container upside down and release. Some water will come pouring out and the ice just needs to be scraped away from the main butter block. You should be left with a smooth round slab of light green butter. Step 11: I store my butter in empty margarine containers in the fridge. If you’ve got lots, you can put the butter back in the freezer and take it out as needed. Or you can share it with your friends. You can use this butter just as you would regular butter in any baking recipe. Simply substitute the butter your recipe calls for with your Buzzin’ Butter. Enjoy your “baking” and have fun!!!

BEN’S CRAZY CANNABUTTER You will need: 2 ounces of leaf cuttings (stems removed) or ¼ ounce of good pot a half cup of vegetable oil (olive or canola) Directions: l. Put the cannabis in a bud buster or pepper grinder and bust it up really good, not powder but to joint rolling consistency 2. Take a saucepan out and put it on the stove, turn the stove up to just under medium heat (2 or

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3. Take the cannabis and put it in the saucepan. 4. Put the oil in the saucepan and stir it well. You may want to use more oil, it really doesn’t make a difference - more oil is easier to do. 5. Let it heat for 30 minutes stirring it occasionally. 6. Strain out all the oil into a bowl or cup using a sieve or coffee filters. 7. After getting rid of all the plant matter out of the oil, it is now ready. 8. Cook the oil into anything and it is nice and potent, about 1/12 of the oil is good to get really Ground and browned is simple. Ground means grinding up the bud into a fine grind. You can use scissors or a coffee grinder. Browned means taking your ground-up mixture and browning it in oil on the stove top. Use a frying pan and brown your cannabis in about 2 tbsp oil. Stir constantly over low heat until cannabis starts to brown and you smell a toasty aroma. It takes about 10-15 min. Make sure the heat is low; if you burn your bud it won’t get you high.

COMPASSION CLUB CANNABUTTER (Makes about 1-½ lbs. of butter. ) 1. Fill a 6- to 8-liter pot 1/3 full with densely packed herb leaf of choice. Fill remainder of pot with cool water and bring the whole to a boil. Reduce heat and simmer for 45 minutes. 2. Strain out and discard water but return leaf to pot. Replenish with clean water. 3. Bring pot to boil. Add 2 lbs. of butter and mix. Lower heat and let simmer for 2-3 hours, stirring occasionally (add water if necessary).

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4. Strain out liquid into bowl using a fine strainer (nylons work too). Squeeze butter out of remaining leaf. Discard strained leaf. 5. Put liquid into refrigerator overnight. Butter will separate from water and form a hard crust on surface of liquid. 6. Lift out butter crust and put in large mixing bowl. Discard liquid. Cream and fold butter using a large metal or wooden spoon. 7. Butter is ready to use as-is. Will keep in freezer up to three months. When baking with cannabutter, select recipes that need short cooking times on a low heat (like cookies), or else cannabinoids will break down while cooking.

COMPASSION CLUB CANNAOIL (AS A VEGAN OPTION) 1. Heat one cup of olive oil to just below simmering (don’t let it boil). 2. Add an equal measure of herb leaf of choice. 3. Stir and let the herb heat up for 30 minutes. 4. Strain through cheesecloth, let oil cool down. Product is ready to use. Store in fridge. 5. For stronger product, heat the oil as described above, then transfer oil and herb to heated crock pot, and keep cooking on low heat overnight or up to two days, then strain it off and discard leaf.

THE JOYS OF LECITHIN Yes, it’s really true: Lecithin is good for THC absorption in the intestine. Why? First visit the site to read some very good explanations about THC digestion. http://www.members.tripod.com/PowerHitters/cooking1.htm

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THC is soluble in fat. Only water soluble substances can pass the intestine membrane. Fat is itself not water soluble because it is like THC uncharged. So how does fat pass the intestine membrane? Fat absorption requires substances with a dipole character to build up vehicles which can connect at the outer surface with water (charged side) and at the inner surface with the fat and the THC (uncharged side). These vehicles are called micelles and consist of bile salts (dipole), phospholipids (dipole), fatty acids (uncharged) and THC (uncharged). Lecithin contains much of these phospholipids!! So Lecithin works in two ways: it emulsifies fat but more important is the ability to build up micelles. Recipe of THC turbo digestion: ½ liter fat milk (fatty acids) 1 teaspoon Lecithin. (Phospholipids) 1 teaspoon Turmeric (Turmeric supports bile production in the liver) Drink that with your already cooked cannabis and this will enhance the THC digestion rate!

HOMEMADE THC PILL RECIPE l­. 2. 3. 4. 5: 6. 7.

Olive vegetable oil Any amount of Marijuana Something to well grind the marijuana Heat source Bowl (something to grind and mix the marijuana in) Pill Capsules (empty some vitamin capsules out) Small spoon

­ irst, you prepare as much marijuana as you want as if you were going to smoke F it. Then, you add enough olive oil in a bowl to saturate all of the marijuana. Add the marijuana to the oil. Grind the mixture for about a minute or so. Then, warm the mixture to about 100 degrees. After you have warmed the mixture, grind for 2 minutes (should be the consistency of a paste). After this is all finished, let the paste cool down. Then, with a small spoon, fill the capsules with the paste. Keep in freezer for storage. It’s called BHANG. Pronounced “bang” and that’s exactly what it does to you.

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Ok, so you need: Handful of shake, trimmings or bud - cut up 4 oz. each: poppy seed, pepper, almonds and cucumber seeds 2 oz. ground ginger .5 oz. each caraway seeds, cloves, cardamom, cinnamon and nutmeg 3 oz. rosebuds 4 oz. sugar or honey 3 cups of milk boil together, then cool a bit before drinking

BHANGLHASSIE 1 tbsp. star anise 1 tbsp cloves 2 tbsp. cardamom 5 tbsp. blanched almonds (ground) 1 tsp. poppy seeds 4 tbs. cinnamon 1 cup ground cannabis 1 cup rice milk 2 cans full fat coconut milk 1/3 cup pure maple syrup 7 rose petals * Put both milks into a large sauce pan and stir over medium heat. Add all other ingredients one at a time, stirring constantly. Simmer on low heat for roughly 20 min. ­Strain mixture through cheesecloth, sifter or tea strainer, and serve. Delicious. If you’d like to see how it’s made, please go to www.pot-tv.net and click on shake ‘n bake! Enjoy.

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HERBAL CHAI RECIPE This recipe has two servings. Ingredients: 3 1 1 1

c of vanilla soy milk or 2 fresh buds chopped dash of cinnamon scoop of Ovaltine or cocoa

1. Put all ingredients into a small pot and place on stove 2. Set stove to high for one minute, reducing heat to medium for another minute, then simmer for 5 minutes. The longer you simmer the better effect. 3. Pour through a small strainer into mugs and serve

Friday’s Tea Time 4 cups water 1 cup marijuana leaf 2 of your favorite tea bags honey (optional, but good) milk/soy milk/rice milk (optional but good) Boil leaves in water for about 15 min. Add tea bags and or milk/honey and boil for another 5-10 min. ** If adding milk, pour very slowly so the milk doesn’t curdle. Or microwave the milk first so it’s a little warm as it hits the boiling tea.

Christmas Cannakaluha • 30 grams of potent cannabis flowers • simmer gently for 30 minutes in 500ml 10% cream (add a little whole milk to replace moisture lost to vapor • strain into a 750ml bottle and squeeze the remains out of the gooey pot • add half cup sugar • 15ml vanilla extract • 4 teaspoons of instant decaf coffee

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• fill bottle to top with vodka (as a preservative) • shake and store in frig Instead of using vanilla extract and instant coffee, try adding your favorite liqueur flavoring available at most winemaking stores. Chocolate mint and B52 taste very nice

CannaMilk Gently simmer 1-2 grams of flowers per cup of whole milk for 20 minutes or gently simmer 7 grams per cup of 10% cream multiply weight by 4 for leaves strain and serve Option: add 1 mint tea bag per cup immediately after turning off heat and steep for 6 minutes. Test for potency and be careful because it’s easy to overdo it and the experience could be “unpleasant”

Sleepy Head Hot Chocolate You’ll need­: 50 g. (2 oz.) good quality dark chocolate such as Valrhona Manjari 2 g. (1/16 oz.) Good quality hash-preferably black 50 ml (2 fl oz) single cream 300 ml (2 fl oz) full-fat milk To Serve: whipped cream and grated chocolate, enough for 2 cups 1. Break up the chocolate into small pieces. Heat the hash with a flame and crumble into smallest pieces possible, like you would to roll a dob. Put the chocolate, hash and cream into a pan and stir under a medium heat until its melted. 2. Meanwhile, bring the milk to a boil in another pan and then pour it over the melted chocolate. Briskly whisk for a while to prevent skin from forming. Serve with whipped cream and grated chocolate. I took this recipe from Spliffs, a book by Nick Jones.

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HOMEMADE WEED HONEY MEAD (CHEAP AND EASY) Honey Mead is one of the easiest types of wine to make. It’s quite tasty and packs a good punch. Needs: 250ml of honey 1 package of yeast 4.5L of water a half Oz of primo 4 cinnamon sticks Boil 4.5L of water in a pot, add honey. Boil this mix for about an hour continually skimming any bee’s wax off the top. Remove from the heat and let cool until about 38C or 100F. Add yeast. Cover with a cloth and let ferment for two or three days. Find yourself 4 1 liter wine bottles, sterilize them (boil or bake clean bottles for 20 mins). Place 1/8 or more weed into each bottle along with a cinnamon stick. Fill the bottles with your liquid, cap or cork tightly. Let sit in a dark closet for 6-8 weeks. That’s it. Enjoy.

CANNABIS LEMONADE This recipe is for 1 large glass and can be adjusted according to how much you want to make and how strong your weed is. Ingredients: Mary Jane (About a good bowls worth finely ground) Ever clear (just enough to slightly cover the MJ)

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Water ( tall glass worth) 1 large lemon Raw sugar to taste (buzz in coffee grinder to dissolve easy) ­Prep: In a small SS pot put in cannabis and then the ever clear. On about med-low heat burn off most of the alcohol, stirring occasionally. Then add half the water.. Bring up heat and boil till reduced by almost half. Take off heat and add rest of water, lemon juice and sugar. Chill in freezer... then enjoy!

Brownies 4 oz. unsweetened chocolate ½ cup butter, softened 4 large eggs 1-1/2 cups white sugar 1 tbsp. pure vanilla extract 1-1/2 cups all-purpose flour ­Caramel 1/4 cup butter. 1/3 cup dark brown sugar, firmly packed 2 tbsp. light corn syrup 2 tbsp. whipping cream ­

CANNABUTTER (OPTIONAL!!) Step #1: You will need 1 cup butter, some clean thin cloth, some rubber bands, and about an ounce of mid or low grade bud (usually from male plants). If you have the cash, go ahead and use high grade bud (ex: chronic), it is sure to be much better and stronger! Yes, I know the above ingredients only call for 3/4 cup of butter, but hey, y’all have a little left over to make toast or something else with it. 1. Melt the butter slowly in a pan. Break your cannabis up as if you were about to roll

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a joint and add it to your melted butter stirring well. You may also add the seeds and stems. Keep it on a low heat for about 30 minutes without letting it burn, stirring well/constantly! 2. Using a container large enough to hold all your butter, spread a thin cloth across the top and place rubber bands tightly/firmly to hold the cloth on (double or even triple the rubber bands to be careful!). Pour the butter from the pan onto the cloth slowly, allowing it to drain. Once you have gotten all the butter and parts of your bud onto/through the cloth, carefully remove the rubber bands. Squeeze as much butter/moisture as possible into the container. Any remaining butter can be tightly sealed and stored in your fridge. If you pour a little water over the hardened butter it will keep longer. 3. Dispose of bud/stems/seeds, etc., which is now in the cloth. THC is soluble in fat, which means this bud is now worthless. The THC (which is what gets you high) is now in the butter! Substitute Cannabutter for normal butter in the above recipe.

SUPER COFFEE (OPTIONAL!!) Step #2: You will need a pot of really strong coffee. 1. Once you have made a fairly large pot of coffee, put into a large pan and bring to a boil. Stir every once in a while until there is very little left, probably 1/8-1/4 of a cup. Stir this coffee into your final brownie mix to add a super caffeine rush along with your great high!

Brownies #1 Step #1: You will need ingredients listed at top. l. Preheat oven to 325 and Grease an 8-by-8 baking pan. 2. In a small saucepan melt chocolate and butter together stirring constantly. 3. Beat eggs in a large bowl using an electric mixer set on high speed until they

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thicken slightly. Add sugar slowly. Add vanilla and mix well. Add chocolate buffer mixture and beat on medium until uniformly brown. Add the flour and blend at low speed until just combined. Do not over mix. 4. Pour half the brownie batter into the prepared pan. Smooth top. Bake 15-20 minutes or until top is firm.

CARAMEL Step #4: You will need ingredients listed at top. 1. Heat butter, sugar and com syrup in heavy pan over medium heat, stirring constantly until sugar dissolves. Increase heat to high and boil 1-1/2 minutes. Remove from heat and stir in cream. Keep warm.

BROWNIES #2 Step #5: You will need ingredients listed at top. 1. Pour remaining half of brownie mixture over caramel, smoothing the top. Bake an additional 25-30 minutes or until toothpick inserted in center comes cleanly out of top brownie layer. (Some caramel may stick to the toothpick). 2. Cool brownies in pan then cut into squares. They may be served at room temperature or chilled.

VEGAN BROWNIES Ingredients: 1-1/4 cups applesauce 1 cup cocoa powder ¼ tsp. sea salt 2 cups brown sugar 1 very ripe mashed banana 1-1/3 cups flour 2 cups vegan chocolate. Chips/carob chips ½ cup or so ground bud. Toasted with oil on stove top until fragrant.

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(Use more if using shake) Directions: Preheat oven to 350 F. Mix all ingredients into large bowl. Pour mixture into 8x8 in. pan. Bake roughly 35 min. Happy “baking”!

DOUBLE CHOCOLATE BUTTERSCOTCH CHERRY COCONUT BROWNIES For those who like it on the sweet, rich and fruity side. Also for those who want to cook some AMAZING canna brownies. Okay, well just don’t waste any of your own ingredients on the basic brownie recipe. Go out and get the Pillsbury Double Chocolate Brownie Mix. Get together the ingredients as specified on the box, except substitute the ¼ cup oil with 1/4 cup melted cannabutter. It also calls for one egg - like mine gooey - so I add two eggs and substitute the ¼ cup water with ¼ cup milk. It promotes a richness. Add 1/8 cup cherry jam, ¼ cup butterscotch flavored chips to the already ready brownie mix. Bake in oven minus 10 minutes, open oven, take the brownies out, spread a VERY thin layer of jam on top (I suggest a GOOD homemade jam or a jam made from a quality local company). Sprinkle coconut on top of spread cherry. Bake for rest of time. Modify recipe with other rich ingredients. I did this once with Hershey’s Special Dark instead of butterscotch and it knocked me off my ass. I recommend a real butterscotch chip or bar. Artificial butterscotch chips do not melt all that well in the oven. Best brownie you’ve ever had. ­

EASY POTENT POT BROWNIES You will need one box of brownie mix (I like Betty Crocker with real chocolate syrup)

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1/2 cup vegetable oil (or whatever amount it requires on your box of brownie mix) 2 eggs (or whatever amount of eggs required on your box) and ¾ -- 1 full oz of shake 1 cup nuts of your choice (optional) You will need to grind up your shake into a powder. You can use a blender and grind it or a coffee grinder. Once it’s a nice powder, set it aside. Next you will need a skillet-like pan or just a med size pot. Put the required oil for your brownies in the pan and heat the oil on a med-low heat. Add your shake powder and continue to stir it constantly for about 5-7 minutes. Once it has a nice smell it’s done. If it smells “hot” you might have cooked it too long - you are going for a nice, kinda nutty-toasty smell. Once you’ve achieved that aroma remove from heat and let cool. Then mix all ingredients together in a mixing bowl (remember to let the oil/shake mixture cool or your eggs might turn scrambled, not yummy) . Then in a greased no less than 9” square pan add your mixture and bake in a preheated oven of around 325 degrees for 20-40 minutes (depending on your box of brownies). One box of brownie mix should yield about 18 good-sized brownies. ­

POT BROWNIES • • • • • • • • • • • • •

½ cup flour 3 tablespoons shortening 2 tablespoons honey 1 egg (beaten) 1 tablespoon water ½ cup very potent pot pinch of salt ¼ teaspoon baking powder ½ cup sugar 2 tablespoons corn syrup 1 square melted chocolate 1 teaspoon vanilla ½ cup ground almonds

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Sift flour, baking powder, and salt together. Mix shortening, sugar, honey, syrup and egg. Then blend in chocolate and other ingredients, and mix well. Spread in an 8-inch pan and bake for 20 minutes at 350°. Very Tasty!

GOOD SMALL BATCH O’ CRUELTY FREE BROWNIES 1 cup sugar (I used white, would have liked better, organic) ½ cup cannabutter 2 T. Rice milk 1/4 cup tofu (firm, silken) 3-4 T passion fruit juice ½ ripe banana 1t. Vanilla 2/3 cup flour ½ cup cocoa ¼ t baking powder (or soda, some leavening!) 1/8t sea salt ¼ cup Macadamia nuts First, blend tofu, banana, rice milk, and passion fruit juice in blender till liquid/well blended. Second” mix sugar in with softened cannabutter,. mix in vanilla and tofu mix (this is the binding agent) and set aside. Now it’s time to mix those dry ingredients. You can figure that out on your own. Once this is done, heat oven to about 330 or so, and grease a 9x9 pan. Fold the wet and dry ingredients together, and mix in nuts. Bake till toothpick comes out dry, about ½ hour. ­ Enjoy!!!!

CHOCOLATE CHIP-PECAN COOKIES Ingredients:

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• • • • • • • • • •

1 cup butter or margarine at room temperature 1 cup ground and browned cannabis shake 1 cup packed brown sugar 2 teaspoons vanilla 2 cups unbleached flour ½ teaspoon baking powder ¼ teaspoon salt ¼ cup water 1-½ cups semisweet chocolate chips 1 cup chopped pecans (or any other nut)

Directions: With an electric mixer, beat margarine until smooth. Add brown sugar and continue to beat until well blended. Add vanilla and mix well. Mix in the cannabis, baking powder, salt and the flour. Add the water, followed by chocolate chips and pecans. Form cookie dough into 1-inch balls (roughly), and place carefully on greased baking sheet. Bake at 350F degrees for 10 minutes. Cool on a wire rack. Makes about 54 cookies. Notes: These cookies freeze very well. You can substitute Sucanat for brown sugar. Not all chocolate chips are vegan so check the package to find a vegan brand.

FRIDAY’S PEANUT BUTTER COOKIES This is simple! Peanut Butter is good to cook cannabis with because it takes over the flavor nicely. You can make these more potent if you like by adding an extra ½ cup of ground and browned cannabis to the mix. You’ll need: ½ cup Friday’s Buzzin’ Butter (soft) 1 cup sugar (you can use white, brown or half and half) 1 egg (free run is nice) 1 cup smooth or crunchy peanut butter 1-1/3 cups flour ¼ cup browned cannabis

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½ tsp. Salt (sea salt is nice) ½ tsp. Baking soda ½ tsp. Vanilla Stir butter in a bowl, slowly add sugar and mix until creamy. Beat in the egg and add the peanut butter. In another bowl, put flour, cannabis, salt and baking soda. Add that to the butter mixed bowl and add the vanilla. Hand beat until well mixed. Make 2.5 cm balls and put them on a cookie sheet. Flatten using a fork. Bake at 375 for 15 min. Cool and enjoy!

ALMOND BARK CHRONIC COOKIES 1 lb. Almond bark ½ cup crunchy Peanut Butter 1 cups dry roasted peanuts 1 cups mini marshmallows 1 cups Rice Krispies ¼ - ½ cup ground and browned cannabis bud or 1-2 cups shake Melt almond bark in double broiler. Blend in peanut butter. Add rest of ingredients, including cannabis. Mix very gently. Drop by spoonfuls onto wax paper lined cookie sheets. Refrigerate to set. Store in fridge.

LEMON POTTYSEED COOKIES ¾ cup of cannabutter (softened) 1 cup of sugar 2 cups of flour 1 tsp baking soda 2 tbs. Poppy seeds 1 & ½ tsp salt 1 whole egg 2 egg yolks

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4-5 tbs lemon juice or 1 and ½ tsp lemon extract Lemon glaze (recipe follows) Preheat the oven to 300 F. Blend the flour, salt, baking soda and poppy seeds together with a wire whisk. In your mixer bowl blend the cannabutter and sugar together until they form a grainy paste. Be sure to scrape down the sides of the bowl. Next add the yolks, whole egg, lemon juice or extract and mix just until combined. With the mixer on low speed, gradually add the flour mixture and mix just until combined. Drop dough onto ungreased cookie sheets by rounded tablespoons at least 2 inches apart. Bake for 23-25 minutes or until edges are slightly golden brown. Immediately remove from cookie sheet and place them on a cool surface (wax or parchment paper work well). While the cookies are still warm brush with lemon glaze.

LEMON GLAZE 2 tablespoons of lemon juice 3 tablespoons of sugar Blend together until the sugar begins to dissolve. Brush onto warm cookies. This recipe makes approximately 2 dozen cookies. One will get you nicely baked for awhile. For a longer effect have 2. If you are really daring go for 3!

CANNA-SHROOM MILLE FEUILLE Makes 10 servings Mushroom ragout: 2 fluid ounces of cannabutter 5 garlic cloves, minced 1 pound shrooms (psychedelic or not) 1 pound Portobello mushrooms 4 rosemary sprigs, or 3T dried rosemary 4 thyme sprigs or 3T of dried thyme ½ tsp of salt ¼ tsp of black pepper, or ½ tsp of white pepper 3 oz. Balsamic vinegar (I like to use 8 strength)

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10 oz. white wine 1 pint vegetable stock (you can use chicken stock) ½ oz. parsley (optional) 2 lbs. Pasta dough 1 lb. Bread flour 6 eggs pinch of salt 2 oz. water (to make this just combine all ingredients together in a bowl and knead until smooth. Cover dough for one hour before rolling and shaping). You can add 6 oz. of puréed spinach to that mix to spinach pasta (add some garlic to that also if you like). 2 lbs. Shallots 1 oz. vinegar 2 fl oz of vinegar 20 tomato slices 10 rosemary sprigs or 6T of dried rosemary 1. Prepare mushroom ragout: heat butter, sauté garlic and mushrooms with sprigs of herbs in small batches. 2. Remove herbs. Deglaze w/vinegar and wine. Reduce liquid to half (boil until liquid has halved its amount). Cook and reduce until sauce consistency. Stir in chopped parsley just before serving. Season w/salt and pepper to taste. 3. Roast the shallots in 350 degree oven. When done peel and slice and chop as desired. Combine all vinegar and honey, and cook out slightly. Keep WARM. 4. Roll out pasta dough, sprinkle w/parsley and fold into thirds, and roll into thin sheets. Cut into 3-in. squares. Drop into salted boiling water and cook until al dente (almost limp noodle feel). Rinse to stop the cooking process. 5. To assemble dish, REHEAT the ragout, shallots, pasta squares and tomatoes. Layer w/2 oz. mushroom ragout, 2 oz. shallots, 2 roasted tomato halves between pasta squares. Serve. Garnish w/fresh rosemary sprigs.

BLAST YO’ ASS LEMON COOKIES Yields 5 dozen cookies, you may want to scale down to size because of the amount of cannabutter required.

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12 ½ oz cannabutter 10 ½ oz powdered sugar 12 oz egg yolks (each egg is 3-4 oz each) 1 ½ zested lemon Cream together butter and sugar, add egg yolks and lemon zest. Add pastry flour, mix just long enough to combine all ingredients. DO NOT OVER MIX. Put cookies on sheet and bake at 400 deg. 8-10 minutes until lightly brown.

APPLE CREAM CHEESE TORTE YIELD 24 servings or 2 tortes CRUST 12 oz cannabutter 6 oz sugar 1 tsp vanilla 18 oz AP flour FILLING 1 ½ lbs cream cheese (softened) 4 oz sugar 2 eggs 2 tsp vanilla TOPPING 1 ¾ lbs apples, peeled and cored ½ cup sugar 2 tsp ground cinnamon ½ tsp nutmeg ¾ cup almonds To make crust: Cream butter and sugar. Add vanilla and flour. Mix together. Divide mixture and pat out onto the bottom of a 1-in. cake pan. To make the filling: Combine all FILLING ingredients. Spread over the crusts. To make topping: Cut all the apples into thick wedges, combine apples, sugar, cinnamon and nutmeg. Arrange apple mixture neatly on top of FILLING, sprinkle w/almonds. Bake at 450 deg. Oven for 10 minutes. Reduce temp to 400 deg. and bake for 25 min.

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longer. COOL COMPLETELY BEFORE SERVING. Serve w/whipped cream if desired.

CINNAMON ROLL OATMEAL COOKIES Ingredients: 1 cup of butter or margarine softened (cannabutter if you wish) 1 cup of firmly packed brown sugar 3/4 white sugar 2 eggs 2 cups all purpose flour 1 tsp baking soda 10 packets cinnamon roll instant oatmeal ¼ cup of water Preheat the oven to 350. Mix the butter and sugars together until they are creamy. Beat in the two eggs. Mix together the flour and baking soda and stir it into the butter mixture. Next add the. oatmeal packets and the ¼ cup of water. Mix well until everything is blended together evenly. Drop by rounded tbs onto a greased cookie sheet. Bake for 10-12 minutes. Remove immediately from the pan and cool on wire racks.

SNICKERDOODLE COOKIES Preheat oven to 375 degrees 1 cup ganjabutter 2 cups sugar ½ cup brown sugar 2 eggs ¼ milk 1 teaspoon vanilla 3 ¾ cups all purpose flour ½ teaspoon baking soda ½ teaspoon cream of tarter ½ teaspoon salt ¼ teaspoon allspice 1 - 1 ½ cups chopped nuts

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In mixing bowl cream, butter and sugar with hand mixer till light and fluffy. Add eggs, milk, vanilla, baking soda. cream of tarter, allspice and salt. Mix again with hand mixer. Add flour and mix again with hand mixer. After completely blended, add nuts and stir in dough mixture. Mixture will be moist but workable. Grease cookie sheets. Mix 2 cups sugar with a lot of cinnamon in a shallow dish. (you’ll be using it to roll cookie dough in so a good choice is a pie plate). ­ ake a teaspoonful of dough and roll in the cinnamon sugar mixture until covered on all T sides. Place on greased cookie sheets. Bake for about 9 minutes for small cookies, 11 minutes for medium size. Enjoy!

SENOR PEA’S SAVORY MARY COOKIES (WHEAT FREE AND VEGAN) 1 cup organic coconut butter (or regular butter if you wish) 4 tsp Baking soda 1 cup dry roasted sunflower seeds 7 cups Chana (chickpea) flour 8 tbsp pesto sans cheese 8 cloves garlic 2 green onions 1-2 tbsp cumin 2 tbs Spike (or similar) veg seasoning 1 handful good fresh green leaf Extract leafs active ingredients in the standard fashion by bringing coconut butter and leaf to a boil in a small saucepan, with a little added water to the mix (doesn’t really matter how much). Simmer four hours, strain through cloth and colander into mixing bowl. Let cool, place entire mix into fridge overnight or for several hours until “green” oil solidifies over water. Toss now empty leaf out, and separate green solidified butter into a separate bowl or container. Toss water out that separated from the butter.

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Mix dry ingredients well (flour, spices, baking soda, sunflower seeds). Chop garlic and onion quite fine and blend with pre-bought or made pesto in a separate bowl. Add to dry flour mix, stir well. Boil about an inch of water in a small saucepan, and in a small plastic Tupperware that will fit inside the pan, place green butter/oil solids (I use the terms butter and oil interchangeably). This is a simplistic double boiler intended to re-melt the butter without wasting any coating the sides of the pan. When butter is liquid again, add slowly to flour mix, stirring in as you go. Once all oil is added the mix should have the consistency of cookie dough. If it is too dry, add a little water and stir; if still dry: keep adding water a little at a time until mix is of a wet enough consistency to make tbsp size cookies. Grease a couple cookie sheets with olive oil and preheat oven to 350 degrees. Bake cookies about 10 minutes. For in gestational purposes, start with one cookie, especially if you’ve been sampling dough all along (smile). “Remember, you can always have more but you can’t have less”. Makes about 55-65 cookies. Get yourself a cookie tin or two and freeze your cookies for maximum freshness over time.

CANNABIS OATMEAL COOKIES Ingredients: ½ cup olive or grape seed oil 1 large egg ½ oz. potent marijuana 1 cup of ground rolled oats 1 cup whole rolled oats ½ cup raw sugar ½ t. baking soda pinch of sea salt ¼ cup dried cranberries 1/8 cup flax seeds 1/8 cup chopped nuts (optional) ­­ Prep: Cut Marijuana with scissors until very fine. In a small Pyrex bowl atop of a small pot of a little water: Heat up olive oil on low with ground cannabis and cook for 30-35 min. Stir occasionally. While the oil is infusing: Prepare dry ingredients. In large bowl sift ground oats (I grind oats in a spice grinder). You’ll see the germ of the

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oats left in the sifter. Add that to the oat flour also. Add 1/8 t. of baking soda, pinch of salt and mix well. ­ ow remove oil from heat. Add sugar and mix, then add egg and mix. N Be sure to scrape down the bowl. While mixing add oat flour - first half then the rest Then add whole oats, dried cranberries, flax seeds, nuts. Put cookie dough in freezer. Heat oven to 325°. After 20 min. use a small ice cream scoop, portion out cookies. Bake for 12 min., remove to a cooling rack. Makes 28-32 cookies. Depending how strong the bud is usually eat 4-8 and I am High for hours. You should be aware that it does catch up to you if you eat to many. If been pretty wrecked at times.

BIG-ASS CANNABUTTER TART Preheat oven to 350 degrees Ingredients: ½ cup cannabutter (or ½ cup butter and ¼ oz pot) 4 cups brown sugar 2 cups cream or canned milk 4 eggs ½ teaspoon salt 2 teaspoons vinegar Unbaked pie shell available in the freezer aisle at any grocery store (if you don’t know how to make it) Steps: 1. In a heavy metal pot (hee-hee-hee) melt ½ cup cannabutter or melt butter and sauté pot for a few minutes. 2. Blend in 4 cups of brown sugar. ­3. Remove from stove and add 2 cups of cream or canned milk.

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4. Beat in 4 eggs, 1/2 teaspoon salt and 2 teaspoons vinegar. 5. Add raisins or walnuts if ya want. 6. Pour into unbaked pie shell 7. Bake at 350 until set - depends on oven - could be 15 to 30 minutes Enjoy.

GANJA RICE KRISPY TREATS What you Need: 6 cups of cocoa or regular Rice Krispies 3 tablespoons of Cannabutter 1-10 ounce bag of marshmallows Directions: Melt the butter in a large saucepan over low heat. Add the marshmallows and stir until everything is completely melted. Remove from the heat and add the Rice Krispies. I kept the heat on very low so it would stir together easier. After you have done this, get a 13 x 9 x2-inch pan lightly coated with cooking spray. Put them in the refrigerator to cool and then you’re done!! It is a really potent and tasty recipe. Ingredients: ­­ cups melted cannabutter 1½ 3 cups quick cook oatmeal ½ cup honey 2/3 cup peanut butter (smooth or chunky) ½ cup chopped nuts if desired 3-4 tbs. chocolate drink mix (optional) Pour the dry oats in to a large bowl and stir in the cannabutter, honey, peanut butter, nuts and drink mix if desired. If it looks like it is too dry add a little more peanut butter or honey. Put the mix into the freezer for about 10 minutes so it will be easier to work with. Remove from the freezer and roll into one inch balls. These can be rolled in more nuts, powdered sugar, cocoa, sprinkles or dip them in some melted milk chocolate for a really rich treat. Of course they are fine not coated with anything. 2 balls is good to

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start out with depending on how potent your butter is. They are chocolaty, small, sweet and they do exactly what they are named for: They bomb you. Don’t plan on doing anything for six hours. I found that the herb’s natural effects come on quickly. Best washed down with your favorite beverage as these are really sweet. Milk’s my fave. Here’s my recipe. ½ cup budder (green butter) 1-1/3 cup crushed cinnamon graham cracker crumbs 1 bag of sweet chocolate chips 1 jar of drained maraschino cherries Mix the budder and cracker crumbs together. Press them in a pie pan or cake pan. Bake this mixture for 10-15 minutes until it is like a crust. Melt the chocolate chips in a double broiler or a microwave. Cut the cherries in half. When the crust part is done, cut them into bite size pieces, about 1”x1” Place a half of a cherry on each piece and then drizzle with melted chocolate. Refrigerate when cool. Get ready for a good buzz but don’t forget to have a beverage handy.

FRIDAY’S PEANUT CRUNCHIES • • • •

8 oz. cannabutter 8 oz. peanut butter 8 oz. brown sugar 12 oz. plain flour

­ reheat oven to 375. Cream together butter and sugar until fluffy. Stir in flour and mix P into dough using a teaspoon or so of water to help. Add peanut butter. Roll into little balls and place on non-stick baking tray. Bake for 20 min. or so. Leave on trays to cool for 10 min., then carefully transfer to wire rack. Option: melt chocolate chips into a sauce and pour over cooled crunchies. Let chocolate set.

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FAST FUDGE 1 can sweetened condensed milk (300 ml) 3 cups chocolate chips ¼ - ½ cup finely ground cannabis (or more if you like*) 1 cup crushed walnuts (optional) oil * The cannabis will be around 1-1½ cups before ground down Put a few tablespoons of oil into a saucepan and heat on low. Add cannabis. Stir constantly for 5-ish minutes. Add the condensed milk and chocolate chips and stir on low until everything is melted. Optional: add nuts. Pour into greased foil or wax papered 8-9” pan and cool for 2 hours. Flip out onto a cutting board, peel off foil and cut into pieces. You can vary this recipe by adding mint chocolate chips, butterscotch or peanut butter chips. Other nuts like macadamia, marshmallows, or whatever you like.

FABULOUS FANTASY FUDGE i­ngredients: 1 cup cannabutter 3 cups of sugar . 1-14 oz. can condensed milk 1-12 oz. bag of semi-sweet chocolate chips 1 small jar of marshmallow creme ½ cup chopped nuts (optional) ­­ a large saucepan over medium heat melt together the cannabutter, sugar, and In condensed milk, stirring constantly so it will not scorch. Bring to a boil, reduce heat and cook for five minutes, stirring constantly. Turn off the heat, add the chocolate chips and marshmallow crème. Stir until everything is smooth. Pour mixture into a buttered 8x8 pan. Let it set for at least 2 hours so it won’t be mushy when you cut it.

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CHOCOLATE NUT SPACE FUDGE You’ll need: 125g ( 4 oz stick) unsalted butter 4 tbs black coffee 2 tbs cocoa powder 2 tbs golden syrup 625 g. (1¼ lb or 5 cups) caster sugar 20g. (3/4 oz.) crumbled hash or 40 g. (1½ oz.) ground buds 200 MI (7 fl oz) condensed milk 125 g. (4 oz/1 cup) chopped pecan nuts Directions: l. Grease an 18 x 28 cm baking tin. 2. Melt butter in a large pan and gradually stir in the hash or grass. Then add coffee, cocoa, syrup and sugar. Heat gently, stirring occasionally until the sugar has dissolved. Do not allow to boil at this stage or the finished fudge will crystallize and lack the desired smooth texture. 3. Add the condensed milk and bring to a boil, stirring. Boil steadily for 5-10 min. until the bubbles become large. 4. Turn off heat and once the bubbling stops, whisk briskly for about 5 min. until the mixture becomes smoother and more glutinous. 5. Add the chopped nuts and mix them in well. Pour the mix onto the prepared baking tin and leave for 30 minutes until semi-set. Mark into 2.5 cm squares with a sharp knife and then leave to fully chill and set in the refrigerator. 6. Finally, cut into squares and store in a cool place in tins/containers.

SUMMER ICE CREAM TREAT 6 oz. Swiss chocolate 2 ¼ cup custard (canned or pre-made) 1 ¼ cup whipped cream (whipped) ¼ oz finely ground trimmings/bud or shake (use more if it’s shake) Melt chocolate (microwave or double boiler). Use a rubber spatula to put chocolate in with custard and mix well. Use the rubber spatula to gently fold pre-whipped cream and finely ground buds into the chocolate custard mixture.

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Do not over mix, you want to fold so that you don’t lose the fluffiness of the mix. Pour mix into a plastic container (an ice cream bucket works great). Cover and freeze.

EASY BANANA BREAD ­Ingredients: 1 box Betty Crocker banana bread mix ½ cup melted cannabutter Make the bread according to the package directions, then stir in the melted cannabutter. Bake as directed. You can also do this with brownie mixes, cake mixes or cookie mixes that call for oil, just substitute melted cannabutter for the oil, or you can use cannaoil.

QUICK HASH COOKIES AND POT OVALTINE Here are a couple quick recipes. 1.

Easy Hash cookies Ingredients: • Oreos or some other sandwich type cookie • Broke up hash • Cooking oil and small spoon

Instructions: • Separate cookie into halves. Sometimes a heated up knife is helpful to cut easily through the icing so you don’t break into too many cookies. Remove some of the icing in the centre but not the sides. This will hold the mixture. • Heat up oil in spoon over stove. Put in hash until liquefied. • Place oil and hash mixture in cookie half that had some icing removed. Place other side over top. Eat then or wrap up for future use. (I kept them for up to 3 days though they would probably keep longer). After eating the cookies, have something to eat with fat in it like a hamburger or fries to make sure you absorb the THC.

­

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QUICK POT OVALTINE Place finely cut up weed in large 600 ml mug with 2 tablespoons of Ovaltine or cocoa (something with fat in it). Pour in 300 ml of hot water and let it sit for 30 minutes. Add 250 ml homogenized milk and let it sit another 10 minutes and drink it all including the weed. You might want to take two Vitamin E capsules when you add the milk to increase oils in stomach to aid THC and other cannibaloid absorption. A great cup of cocoa. Add a couple oz. of whiskey along with the milk for an extra kick.

THC WHIPPED CREAM Cream has plenty of oil in it so you can just steep buds (or trash if ya gotta - for whipped cream I’d want the cleanest.) in cream in a pan on low heat for about 10-15 minutes. Let it cool. Make whipped cream.

CHRONIC BUTTERMILK Ingredients: • However much cannabutter you want to eat • Small cup of milk • Extra milk • Chocolate milk/Nescafe syrup Start by microwaving the Cannabutter and your cup of milk (don’t use a plastic cup) until all the butter melts. Add more cold milk and LOTS of Chocolate milk/Nescafe syrup. Stir it really well and CHUG IT.

CANNABANANA BREAD RECIPE You will need: ½ cup softened cannabutter* 1 cup sugar 2 eggs 1 cup ripe bananas 2 cups flour 1 teaspoon baking soda

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½ teaspoon baking powder ½ teaspoon salt 1 cup nuts or chocolate chips • • • • • •

cream butter and sugar add eggs slowly blend in bananas separate bowl sift dry ingredients add dry ingredients and chips or nuts to banana mixture mix until everything comes together but be careful to not over mix, over mixing is bad • bake 30 for 1 hour • test with toothpick for readiness. Poke with toothpick. If it comes out clean it’s done; if it comes out gooey, give it a few more minutes. * The effect of this recipe is totally dependent on your cannabutter potency. If you feel your butter is lacking you can also add dry, ground herb to this recipe, about a ½ cup per loaf before you start to notice the “weed” flavor. Some prefer it, I don’t.

PEANUTBUDDER AND JELLY BARS ­ ½ cups of all purpose flour 1 ½ cup sugar ¾ tbl baking powder ½ cup of cannabutter (cold) 1 egg beaten 3/4 cup grape jelly 1-10 oz package peanut butter chips divided Heat oven to 375 Grease a 9-in sq baking pan Combine the flour, sugar and baking powder with mixer. Add in the butter in chunks until the mixture resembles coarse crumbs. Add egg, blend well. Reserve ½ the mixture. Press the remaining mix onto bottom of the prepared pan. Spread the jelly over the crust. Sprinkle 1 cup of the chips over the jelly. Stir together reserved crumb mixture with the remaining 2/3 cup of chips, sprinkle over the top. Bake 25-30 minutes or until lightly browned. Cool completely in pan. On a wire rack cut into bars. Makes about 12-16 bars. Cheesy “Pot” Corn

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Take ½ cup - 1 cup melted butter (use Friday’s Buzzin’ Butter) Pop your popcorn in a large pot with the melted butter (or air pop it and pour the melted butter on top) Sprinkle generously some processed cheese powder (Kraft makes a good cheddar one) Toss well in a large bowl

HUMMIN’ HOMMOUS 1 19 oz. can chick peas (or dry your own) / (save the juice) ¼ cup tahini 1/3 cup lemon juice 2-5 cloves garlic (depending on how garlicky you like stuff) handful of parsley ½ cup ground and browned cannabis salt and pepper pinch cumin Put garlic, lemon juice and parsley in the food processor until smooth. Add chick peas, tahini, cannabis and spices and pulse process until semi-smooth. Use chick pea juice as needed to get desired texture. Should be smooth like a dip with a slightly bumpy texture. Refrigerate. It’s even better the next day.

SALSA AND GUACAMOLE RECIPE FROM SHAKE ‘N BAKE 6 ripe Roma tomatoes - finely chopped 1/2 onion - finely chopped juice of 1 lime chopped hot pepper 3 ½ grams browned and ground cannabis buds Mix all into. a bawl, toss in lime juice. Serve.

GUACAMOLE ­ ripe avocadoes - peeled, mashed and put into a bowl 4 3 or more cloves of garlic- minced ½ Roma tomato - chopped

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1/3 cup lemon juice 3 ½ grams ground and browned cannabis buds Salt, pepper and lemon pepper to taste ­ ix all ingredients together in a bowl. You want a fairly smooth consistency, but do it M by hand. Don’t use a processor or mixer.

GUACAMOLE Peel yourself some nice ripe avocados (2-3 depending on size) Grate a medium onion. Grind up to 5 grams of buds to a very fine powder (leaf is ok but less kick). Finely chop a chili or two depending on your preferred heat. Chuck it all in a food processor. Add juice of ½ medium lemon, a good dollop of sour cream, a dash of Tabasco and some cracked pepper. Pulse the mixture until reasonably smooth (don’t overdo it). Eat with nachos and salsa, which can also have weed in it, just add some to your favorite salsa jar or home recipe!

FRIDAY’S POT PESTO 3/4 cup olive oil 2 tbs pine nuts 1/3 cup grated parmesan (or soy parmesan) 3-4 cloves of garlic crushed handful of cannabis leaves (the smaller ones work well) Take everything but the pot leaves and put them in a food processor until finely chopped, but not smooth. Add the pot leaves and pulse process until you have a slightly chunky consistency. Option: You could do ½ pot leaves, 1/2 basil leaves for more flavor Put over your favorite pasta or as a sandwich spread.

PEPPY PESTO SAUCE ¾ cup of chopped fresh cannabis (preferably a lemon or skunk type) ¾ cup of chopped fresh parsley ½ cup of chopped fresh basil

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½ cup of olive oil to start ½ cup of grated parmesan or Romano cheese 2 large garlic cloves, smashed 1 tablespoon of chopped pine nuts ½ tablespoon of lemon juice Dash of black pepper Heat oil, remove from heat and add all ingredients. Let sit for at least an hour. Boil 1 pound of your favorite pasta. Serves 4 with bread and salad.

PUNA PANZENELLA SALAD ­ large tomatoes, chopped 4 4 cucumbers, peeled and chopped 4 red onions, chopped 2 cups of red wine vinegar 1 cup of extra virgin olive oil 1 cup of chopped, fresh basil 1 cup of chopped, fresh cannabis (preferably a lemon or skunk.type) 1 cup of chopped, fresh parsley 2 cloves of fresh, smashed garlic Salt and black pepper to taste 1 box of your favorite croutons Mix all ingredients except croutons in a large bowl. Refrigerate for several hours. Toss in the croutons and serve with ground black pepper.

SAUSAGE CHEESE BALLS Ingredients: 1 lb. mild sausage 2 cups of plain flour (you will have better results with 2 cups of Bisquick or another brand of baking mix) ½ cup of cannabis (ground to flour consistency) At least 1 cup of shredded cheese (more if desired) Add all ingredients into a large bowl. Mix all ingredients (with your hands is easiest, mixture will be very stiff) until all are combined into one large “ball.” Tear off pieces

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of sausage mixture and roll into medium sized balls, place on baking sheet and bake for 15-20 minutes at 350. Drain on paper towels. These freeze well. Recipe can be doubled if desired. Note: I find when mixing this if you knead it like you would bread, that works well.

SOUTHERN BISCUIT MUFFINS WITH HONEY CANNABUTTER Ingredients: 2½ cups of flour ¼ cup of sugar 1½ tbs baking soda 1½ sticks of butter (chilled) 1 cup of cold milk Preheat the oven to 400. Blend all the dry ingredients. Then using a pastry blender or two knives cut the butter into the dry ingredients until it resembles coarse meal. Stir in the milk just until mixture is moist. Spoon mixture into greased muffin tins. Bake at 400 for 20 minutes or until golden brown. Serve with Honey Cannabutter. ­ or the butter you will need: F ½ cup prepared cannabutter, softened ¼ honey (any variety you like) Mix the honey and softened cannabutter together - serve with biscuit muffins. This is great for breakfast served alongside some fresh fruit or for you meat eaters: sausage, bacon whatever.

HURIT ADS (EGYPTIAN LENTIL SOUP) 2 cups dried, hulled green/red lentils 3 cups vegetable stock 1 medium onion, peeled and chopped 1 medium tomato, chopped 2-3 cloves coarsely chopped garlic 2-3 tbsp. oil 6 grams ground cannabis trimmings 2 tsp. cumin

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1 tsp. salt black pepper to taste lemon wedges to garnish Brown cannabis in oil. Add onions and stir until soft. Add garlic and tomatoes and stir for a minute more. Add stock water and lentils. Add spices. Bring to a boil and simmer for 30 min. until lentils are soft. Serve with lemon wedges. Easy and delicious.

HAPPY TOMATO SOUP Ingredients: Good Green Bud -A good joints worth, but you can add more or less 1/8 cup olive oil 1 cup chopped grape tomatoes Pinch of raw sugar 2 pinch of salt Prep: In a Pyrex bowl over a pot of water heat olive oil and cannabis for 30 min. Add chopped grape tomatoes, sugar, salt. Pull off heat and coat all of the tomatoes with the Canna/Oil. Blend with food processor, blender or a stick blender. Delicious - I add a splash of soy/rice milk.

GREEK ORZO SALAD ­ -5 grams ground and browned cannabis buds 3 2 cups orzo - precooked and cooled 3 tbsp. olive oil 2 tbsp. vinegar (red or white wine vinegar) 1 tbsp. Dijon mustard bunch finely chopped mint leaves (1-1/2 tsp. dried)

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2 tsp. dried oregano 2 tsp. dried thyme ½ tsp. black pepper 2 medium tomatoes, diced 4 scallions or 1 red onion, chopped 1 med cucumber, diced 3 large garlic cloves, minced 1 cup sliced black olives 1 cup feta, crumbled. 1-14 oz. can chick peas In a large bowl, combine oil, Dijon mustard, vinegar and herbs (including cannabis). Mix well with whisk. Add all other ingredients and mix until well coated. Chill for 4 hours before serving. Enjoy!

LASAGNA FLORENTINE Ingredients: ­ -12 lasagna noodles (depending on the size of your dish) 9 1-16 oz. jar Alfredo sauce (any flavor, garlic is great) 1-10 oz. package frozen spinach, thawed with all of the water pressed out 1 cup sliced button mushrooms (optional) ½ cup shredded carrot (optional) 8 oz. container ricotta cheese 3 eggs Mozzarella, parmesan or Italian cheese blend 1 large chicken breast or 4-6 chicken tenders, cut into small pieces butter for sautéing Preheat the oven to 325. Start by sautéing the chicken and vegetables (not the spinach) in a saucepan with some putter. When the chicken/veggies are done remove from heat and set aside. In a large bowl mix together the spinach, ricotta and eggs. Then stir in the chicken/vegetable mixture. Now you are ready to assemble the lasagna. Spray the dish you will be using lightly with cooking spray. Pour a small amount of sauce in the bottom of the dish and spread evenly. Then put in the noodles, spread more sauce evenly on top of the noodles. On top of the sauce add the ricotta/

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chicken/vegetable mixture. Sprinkle with cheese. Continue the layers as follows: noodles, sauce, ricotta/chicken/vegetable mixture, cheese, until the last layer is cheese. Cover loosely with foil. Bake in 325 degree oven for 1 and 1/2 hours or until you can insert a knife easily through the noodles. During the last 10 minutes of cooking remove the foil so the top can brown lightly. Allow it to cool for at least 15 minutes before serving.

FRIDAY’S SPAGHETTI SAUCE Take ground up leaf trimmings or bud (anywhere from a quarter to an ounce) and put it into a pot with oil. Stir constantly until brown, being careful not to burn. Set aside. 1 chopped onion 4 cloves garlic oil for frying Fry until onion is soft Add: ½ cup chopped green pepper ½ cup chopped celery Approx. 10 mushrooms, sliced 1 pkg. Yves. “just like ground” (optional but delicious) Add to pot with cooked onions and cook until everything is semi-soft. Add: 1-19 oz. can diced tomatoes 1-19 oz. can plum tomatoes ½ can tomato paste ½ cup water a little sugar 1 bay leaf and spices: Italian seasoning or basil, oregano, sale and pepper You can also add chilies if you like it spicy. And of course add in your cannabis mix from Step 1. Simmer for a couple hours on low-med heat.

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Serve over pasta. Enjoy! ** Hint: You can follow step one and add it to any store bought jarred sauce too. Works just as well.

FRIDAY’S GREEK GANJA CANNELLONI Ingredients: Cannabis, finely ground 1 large jar tomato sauce or 3-4 cups homemade sauce Cold water ½ package firm tofu or 1 container of ricotta cheese l cup feta (cow or goat, I prefer goat) Cannelloni tubes (you can get Catelli oven ready which are great) 1 onion 3 cloves garlic 1 head spinach Seasonings In a saucepan - fry in oil: 1/8 oz cannabis buds 1 onion, chopped 3 cloves garlic, crushed 3 cups spinach Sauté until onions are soft and spinach is wilted, then cool Add the above mixture to: 1-1.5 cup(s) crumbled feta cheese ½ package firm tofu, crumbled or 1-1.5 cup ricotta cheese salt and pepper to taste Italian seasoning (2 tbsp) * If you want it cheesier, you can add more feta and less tofu, just make sure you end up with 2-3 cups cheese and tofu combined

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Section 6 “Accounting and Merchant Services”

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THE CASHLESS KIOSK™



The Cashless Kiosk™ is the only cash management solution designed specifically for the medical marijuana industry! Exclusively available through marijuana merchant service.com, the Cashless Kiosk™ consists of the built-in cash loading machine and interactive patient touch screen -- designed to significantly increase the safety and security in your dispensary. Patients have the option of adding value to their SmartCards with cash, Mastercard®, Visa® or American Express® at the Cashless Kiosk™ wall. There is an optional rear loading ATM that can be added to the kiosk wall. Once loaded, patients can make their purchases, as usual, at the POS.

COMPARE THE BENEFITS OF GOING CASHLESS Comprehensive Cash Management Ongoing Management Support No Risk of Employee Shrinkage No Cash Registers or Cash Cages Significant Theft Deterrent No Costly Payroll or Employee Benefits

(Cashless Kiosk™ cost $8,000 one time vs. Cashier Payroll of $20,000 per year)

Complete Dispensary Owner Control Real Time Cash Controls Credit Card Processing designed for the Medical Marijuana Industry



Cashless Kiosk™

Cash Dispensary

  

  

     

   NO NO NO

™

 CASHLESS KIOSK EQUIPMENT Wall Mounted Patient Touch Screen with CC Reader Cashless Kiosk™ Software Receipt Printer Back Loading Bill Acceptor  CUSTOM IMPRINTED SMARTCARDS Cashless Kiosk™ SmartCards (1,000)

$3.00/card

 FEES Purchase of Cashless Kiosk™ System $8,000.00 One Time Credit Card Activation Fee $149.00 Monthly Cashless Kiosk™ Maintenance Fee $60.00/mo. Credit Card Transaction Fee Up to 2.99% Cash Transaction Fee 2.5% POS Equipment Lease Fee (can be purchased/leased) $35.00/mo. NOTE: 20% of all transaction fees are donated to a MMJ industry non-profit organization of your choice.

For More Information, Visit www.marijuanamerchantservice.com

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MERCHANT SERVICES EXCLUSIVELY FOR THE MEDICAL MARIJUANA INDUSTRY Fast Approvals No longer do you have to beg the big banks to handle your marijuana related credit card processing account. Marijuana Merchant Service has a streamlined the application and approval process. We offer an online process so we can begin processing your application immediately. Through our fast approval process, you should be up and running within 72 hours.

Latest Technology Marijuana Merchant Service offers you the latest in payment processing technology. Our goal is to simplify the payment process and allow you to focus on more important areas of growing your marijuana business.

Knowledge and Expertise Knowledge and expertise and the willingness to work directly with the marijuana industry are monumentally important. Having your Merchant Service account set up incorrectly or in haste can result in problems of significant proportions. You can rest assured knowing that through Marijuana Merchant Service, you are working with professional experts in the electronic payments industry.

Worry Free Guarantee

The medical marijuana industry has been through so much during the past few years. It is extremely important that you can finally feel confident and secure that you are working with a provider who cares about the industry. Marijuana Merchant Service has payment processing solutions for legal marijuana dispensaries, delivery services and caregivers. No longer do you have to worry about being shut down by the banks or having to euphemistically claim that your company is a “health and wellness” facility. No longer do you have to worry if the word “marijuana” or “cannabis” is in your company’s name, your bank accounts will be shut down or your account will be frozen. All payments are processed as “cash POS purchase”.

Industry Donations from Monthly Transaction Fees

While there are some other services beginning to offer Merchant Service, Marijuana Merchant Service is operated by industry professionals. The company is committed to addressing the concerns and promoting the interest of the Medical Marijuana Industry. Patients spend money in the industry and pay for the convenience of being able to use their credit and debit cards. Merchants can either absorb those fees or pay them on behalf of their patients. Either way, a percentage of your low fees will be donated to Industry organizations such as 280e reform®, NCIA®, Americans for Safe Access® or Norml®.

20% of all transaction fees are donated to the non-profit Medical Marijuana organization of your choice For More Information, Visit

www.marijuanamerchantservice.com

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THE CASHLESS KIOSK™



The Cashless Kiosk™ is the only cash management solution designed specifically for the medical marijuana industry! Exclusively available through marijuana merchant service.com, the Cashless Kiosk™ consists of the built-in cash loading machine and interactive patient touch screen -- designed to significantly increase the safety and security in your dispensary. Patients have the option of adding value to their SmartCards with cash, Mastercard®, Visa® or American Express® at the Cashless Kiosk™ wall. There is an optional rear loading ATM that can be added to the kiosk wall. Once loaded, patients can make their purchases, as usual, at the POS.

COMPARE THE BENEFITS OF GOING CASHLESS Comprehensive Cash Management Ongoing Management Support No Risk of Employee Shrinkage No Cash Registers or Cash Cages Significant Theft Deterrent No Costly Payroll or Employee Benefits

(Cashless Kiosk™ cost $8,000 one time vs. Cashier Payroll of $20,000 per year)

Complete Dispensary Owner Control Real Time Cash Controls Credit Card Processing designed for the Medical Marijuana Industry

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Cashless Kiosk™

Cash Dispensary

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   NO NO NO

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 CASHLESS KIOSK EQUIPMENT Wall Mounted Patient Touch Screen with CC Reader Cashless Kiosk™ Software Receipt Printer Back Loading Bill Acceptor  CUSTOM IMPRINTED SMARTCARDS Cashless Kiosk™ SmartCards (1,000)

$3.00/card

 FEES Purchase of Cashless Kiosk™ System $8,000.00 One Time Credit Card Activation Fee $149.00 Monthly Cashless Kiosk™ Maintenance Fee $60.00/mo. Credit Card Transaction Fee Up to 2.99% Cash Transaction Fee 2.5% POS Equipment Lease Fee (can be purchased/leased) $35.00/mo. NOTE: 20% of all transaction fees are donated to a MMJ industry non-profit organization of your choice.

For More Information, Visit www.marijuanamerchantservice.com

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480-315-9051

MMJ Division: Premier Dispensary Insurance

Medical Marijuana Business Insurance Experts • General Liability • Property • Crop & Stock • Business Auto • Cargo • Product Liability

• Government Action • Workers Comp • Directors & Officers • Malpractice • Employee Benefits • Bonds

CALL TODAY: 480-315-9051 www.PremierDispensaryInsurance.com

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New Frontiers Staffing

Do you need a professional website for your delivery service? We specialize in designing, hosting and maintaining delivery service websites packed with the features you need to be successful. In just ONE WEEK we can design and launch a fast and easy to use website for your members. Features include: - Online Pre-Verification - Driver’s License and Doctor’s Recommendation Upload - Member’s only section for sensitive data - Quick setup in only one week - Fast, secure and reliable hosting - Full Search Engine Optimization (S.E.O)

Only $999 !!! Call Ben (818) 430-3760 or visit http://newfrontiersstaffing.com for more information.

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New Frontiers Staffing Online Staffing Custom online staffing solutions offer your company the ability to post jobs and receive resumes in just minutes. With our video interviewing, you can interview right from your computer, complete with document sharing and white-board functionality. Hosting Solutions Our experienced team of technicians are standing by to maintain every aspect of your company’s website needs. Our hosting service comes with 99.99% guaranteed uptime and automated nightly backups. Consultation Our experts are standing by to answer your technology questions. We specialize in reducing your company’s overhead by utilizing Open-Source software in place of expensive proprietary solutions. Website Development Establishing your business online can be a costly and time consuming experience for non-technical users. We have streamlined the process of designing, developing and optimizing your website.

Call (818) 515-7600 or visit http://newfrontiersstaffing.com for more information.

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New Frontiers Staffing

Our team of experienced professionals are standing by. We offer consultation services in several areas of business and technology: - Incorporation - Copyright and Trademark - Corporate Branding - Press Release Strategy - Public Relations

$249 3 Hour Consultation

- Social Media - Search Engine Optimization - IT Security - Staffing Technology - Website Design and Development

Call 213-986-5880 or visit http://newfrontiersstaffing.com for more information.

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™

Want to advance your career? - Find jobs in the medical cannabis industry - Upload your resume directly to the employer - Video chat with recruiters and employers - Network with people in your specific industry - Read our blog containing exclusive deals and news - Utilize our social circle for safe, secure communication with employers

Need to grow your company? - Let us help build your dream team. - Online face-to-face interviews, meeting rooms and training. - Save time, gas, and other fees associated with recruiting. - No need for an office, collaborate anywhere, anytime. - Less paper, less email, less distractions. - Help reduce your company’s carbon footprint dramatically. - Find the qualified professionals you need, and provide them with the tools for success.

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CANNAPACK

SOLUTIONS 17225 Sierra Highway #120 Canyon Country, CA 91351 T (877) 302-2247 F (877) 302-2234 [email protected] cannapacksolutions.com

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Package Design with Patients in Mind For Retail and Delivery Operations At CannaPack Solutions Inc. we understand the importance of

Silicon Concentrate Containers

quality packaging. Packaging that not only keeps your product fresh but also keeps you safe. Our revolutionary bag design allows you to heat seal each bag to create an odor proof and tamper resistant package. A package that once sealed keeps the contents safe from harmful environmental conditions. This tamper evident design allows you to feel secure about the condition your medicine leaves your facility. There will no longer be any doubts of whether or not your patients accessed their medicine prior to reaching their designated medicating

Sealers are Easy-to-Use and Inexpensive

area.

Bud Barrier CA Bags Inexpensive Easy-to-Use Odor Proof Re-Sealable Printed California Medical Marijuana Disclaimer

Opaque Bags

Fast Product Fill Time Tamper Evident Tamper Resistant

1 oz

High Environmental Barrier Properties Lightweight

1/4 oz 1/8 oz 1 Gram

Re-Usable Ergonomically Designed to Fit in Pocket

Patient Benefits... Medicine will no longer dry out No more bulky containers No more smelly cars

Joint Pack

Plain Bags

Discrete and private packaging solution

Labels to Match State Regulations

(877) 302-2247

[email protected] cannapacksolutions.com

CANNAPACK

SOLUTIONS

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