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HomeMy WebLinkAboutCSE-20-49 CO-OP for Life RedactedApplication Type Social Equity Criteria Applicant (Entity) Information Social Equity Cannabis Business Permit Application CSE-20-49 Submitted On: Nov 13, 2020 Applicant Christan Fields In order to qualify as a social equity applicant, applicants must satisfy at least one of the following criteria: 1. Low income household and either: a. A past conviction for a cannabis crime, or b. Immediate family member with a past conviction for a cannabis crime. 2. Low income household in a zip code identified as at least 60% according to the CalEnviroScreen for five (5) consecutive year period and either: a. A past conviction for a cannabis crime, or b. Immediate family member with a past conviction for a cannabis crime. 3. Low income household and either: a. Five (5) years cumulative residency in a zip code identified as at least 70% according to the CalEnviroScreen, or b. Ten (10) years cumulative residency in a zip code identified by CalEnviroScreen. 4. Business with no less than fifty-one percent (51%) ownership by individuals who meet Criteria 1 and 2 above. 5. Cannabis social enterprise with no less than fifty-one percent (51%) ownership by individuals who meet Criteria 1 and 2 above. 6. An individual with a membership interest in a cannabis business formed as a cooperative. Do you meet the above criteria, and want to apply as a Social Equity Applicant? Yes Please state your annual income:Do you have a past cannabis conviction? No Do you claim eligibility based on a family member past cannabis conviction? No Do you represent a cannabis social enterprise? No Do you have a membership interest in a cannabis cooperative? No Application Type Proposed Location Supporting Information Applicant (Entity) Name: Christan B. Fields DBA: Co Op for Life Physical Address: Will provide City: Fresno State: CA Zip Code: 93727 Primary Contact Same as Above? Yes Primary Contact Name: Christan Fields Primary Contact Title: owner Primary Contact Phone: Primary Contact Email:HAS ANY INDIVIDUAL IN THIS APPLICATION APPLIED FOR ANY OTHER CANNABIS PERMIT IN THE CITY OF FRESNO?: No Select one or more of the following categories. For each category, indicate whether you are applying for Adult-Use (“A”) or/and Medicinal (“M”) or both Both Please make one selection for permit type. If making multiple applications, please submit a new application for each permit type. Permit Type Cultivation Business Formation Documentation: Sole Proprietorship Property Owner Name: TBA Proposed Location Address: TBA City: Fresno State: CALIFORNIA Zip Code: 93727 Property Owner Phone: Property Owner Email:Assessor's Parcel Number (APN): -- Proposed Location Square Footage: 10000 List all fictitious business names the applicant is operating under including the address where each business is located: Co Op for Life Co Op for Life November 13, 2020 Ownership Acknowledgment form I Christan Fields understand the social equity requirement as 51% majority owner. I currently own 100% of this business. If I end up with business partners, I understand that I must and will own at least 51% of the cultivation business. Christan Fields