HomeMy WebLinkAboutCSE-20-75 The Plug RedactedApplication Type
Social Equity Criteria
Applicant (Entity) Information
Social Equity Cannabis Business
Permit Application
CSE-20-76
Submitted On: Nov 28, 2020
Applicant
Shakir Ballantyne
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?
Yes
Do you represent a cannabis social enterprise?
Yes
Do you have a membership interest in a cannabis cooperative?
Yes
Application Type
Proposed Location
Supporting Information
Applicant (Entity) Name:
Shakir Akil Ballantyne
DBA:
Ballantyne’s Buds
Physical Address:City:
Waterford
State:
CA
Zip Code:
95386
Primary Contact Same as Above?
Yes
Primary Contact Name:
Shakir Akil Ballantyne
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
Retail (Storefront)
Business Formation Documentation:
Limited Liability Company
Property Owner Name:
Shakir Akil Ballantyne
Proposed Location Address:
30 W spruce ave
City:
Fresno
State:
CA
Zip Code:
93650
Property Owner Phone:
6788152474
Property Owner Email:Assessor's Parcel Number (APN):
--
Proposed Location Square Footage:
2456
List all fictitious business names the applicant is operating under including the address where each business is located:
--
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