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Department of Public Health Medical Use of Marijuana Program RMD Applications 99 Chauncy Street, 11 ib Floor Boston, MA 02111

December 4, 2015

Attn: Interim Bureau Director Eric Sheehan, J.D.

Re: Management and Operations Profile - Holistic Industries, Inc.

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Response to Department of Public Health Request for Information

Dear Director Sheehan:

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Holistic Industries, Inc. 1s m receipt of the Department of Public Health's (the "Department") Request for Information dated December 4, 2015. In response to such request, Holistic Industries submits the following documents to facilitate the Department's evaluation of the company's three (3) distinct Management and Operations Profile timely submitted in September of 2015:

l. Holistic Industries, Inc. 's new Certificate of Good Standing dated December 4, 2015;

2. Copies of the two loan agreements identified in the responses to Question C.12. Note, the attached agreements are short-form agreements. The long-form versions of the agreements are currently being drafted by company counsel. Upon finalization and execution, Holistic Industries shall submit the long-form loan agreements to the Department for review. At that time, Holistic Industries shall also submit an independent legal opinion evidencing that the agreements are compliant with Massachusetts law and the Department's Non-Profit Guidance. The company acknowledges that it must submit the long-form loan agreements and accompanying legal opinion prior to receiving a Provisional Certificate of Registration;

3. Revised Responses to Questions D.17, D.18, D. 19, and E.36. Note, Questions D.17, D.18, and D.19 now clearly indicate the length of experience related to each officer, as requested by the Department. Also note, Question E.36 now clearly indicates that the company's means of verifying financial hardship comply with the requirements in 105 CMR 725.004 under the definition of "Verified Financial Hardship;" and

4. Revised Employment and Education Form fi ich now identifies his position with Organic Wellness LLC.

If the Department requires an convenience. My direct line for your consideration, we lo

l .,. ~I • II I I 1111• II II -. - e1 . 1 e at your earliest Again, thank you . - --- . -· ....

Enc.

William Francis Galvin Secretary of the Commonwealth

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Date: December 03, 2015

To Whom It May Concern :

I hereby certify that according to the records of this office,

HOLISTIC INDUSTRIES, INC.

is a domestic corporation organized on June 10, 2015

I further certify that there are no proceedings presently pending under the Massachusetts Gen-

eral Laws Chapter 180 section 26 A, for revocation of the charter of said corporation; that the

State Secretary has not received notice of dissolution of the corporation pursuant to Massachu-

setts General Laws, Chapter l 80, Section I 1, I 1 A, or I 1 B; that said corporation has filed all

annual reports, and paid all fees with respect to such reports, and so far as appears of record said

corporation has legal existence and is in good standing with this office.

Certificate Number: 15126619250

In testimony of which,

I have hereunto affixed the

Great Seal of the Commonwealth

on the date first above written.

Secretary of the Commonwealth

Verify this Certificate at: http://corp.sec.stale.rna.us/CorpWeb/CertificatesNerify.aspx

Processed by: Kta

Holistic Industries, Inc.

Application _2_ of _3 __ Applicant Non-Profit Corporation---------------

SECTION D. EXPERIENCE

16. Attach an Employment and Education form (use template provided) for each of the following individuals: The Corporation's Chief Executive Officer, Chief Operations Officer, Chief Financial Officer, individual/entity responsible for marijuana for medical use cultivation operations, and individual/entity responsible for the RMD security plan and security operations.

17. Describe the experience, and length of experience, of the Corporation's Chief Executive Officer, Chief Operations Officer, and Chief Financial Officer with running a non-profit organization or business.

CEO fSchneider's of Capitol Hill, a family-owned and operated wine shop and one of the top retail as worked at Schneider's since graduating from the University of Maryland with a BS in Plant Genetics/Horticulture in 1978. As VP, he is responsible for daily operations, including interfacing with top customers, staffing, purchasing, advertising and promotions, and the company's award-winning website, Cellar.com. In its 66 years of existence, Schneider's has never been cited for a violation by DC's Alcoholic Beverage Regulation Administration.

•••lnon-profit experience includes serving as a Board Member of ( 1) Capitol Hill Association of Merchants and Professionals (3 years), (2) Capitol Hill Village, a volunteer based non-profit helping aging residents remain in their homes (6 years), and (3) Barracks Row Main Street, an economic development non-profit working with the DC and federal government to improve conditions of this historic local street (8 years). He also volunteers for several non-profit fundraisers, including the National Brain Tumor Society (5 years), Starlight-Starbright Children's Foundation (10 years) and lnovn Hospital (10 years).

COO~resident of Schneider's and has overseen its growth to over$14MM in revenue. As President, Josh ~ons including the development and growth of Schneider's website Cellar.com, a national platform for wine and spirit sales. Josh is also General Manager of Holistic Remedies (3 years) and Organic Wellness (3 years), 2 ofDC's top licensed Cultivation Centers and the only operators to focus on high CBD strains suitable for children-patients suffering from seizures.

; n member of the Young Presidents Organization, DC Chapter. His non-profit experience includes serving as Board er of Hearts Delight (4 years), a subsidiary of the American Heart Association and American Stroke Association.

CFO Treasurer of Schneider's and has at times served as President/CE~aduated Adelphi University in 1975 with a degree in Management. Thereafter, he worked 5 years for A. Genderson and Sons as General Manger and Sales Manager before joining Schneider's.

n-profit experience includes serving as Board Member of (l) the National Brain Tumor Society (5 years), (2) s Academy, a charter school for unwed mothers and daycare for their infants (2 years), and (3)

Starlight-Starbright Children's Foundation Mid-Atlantic (including tenures as Treasurer, VP and President), a non-profit dedicated to improving the quality oflifc for children with chronic life-threatening illnesses and life-altering injuries by providing entertainment, education and family activities (13 years). Also, Richard serves as a Board Member of SWC Tempe and SWC Prescott, non-profit medical marijuana companies licensed by AZ to cultivate and dispense (2 years each).

Information on this page has been reviewed by the indicated by the initials of the authorized signatory

where provided by the applicant, is accurate and complete, as

Management and Operations Profile - Page 10


Application _2_ . of L_ Applicant Non-Profit Corporation _________ _ _ _ ___ _

18. Describe the experience, and length of experience, of the Corporation's Chief Executive Officer, Chief Operations Officer, and Chief Financial Officer with providing health care services.

CE is Managing Member and CEO/President of Holistic Remedies LLC, the District of Columbia's first 1ccnse me 1ca manjuana Cultivation Center, offering a variety of high quality medical marijuana strains, including high CBD strains, and medical marijuana infused products to qualifying DC patients since 2012. Holistic Remedies is one of only 7 operational Cultivation Centers in the District and has a perfect compliance record to date, undergoing comprehensive regulatory inspections on a monthly basi~calth care services extend to his volunteer work at fund-raisers for several health care no~luding the National Brain Tumor . Soc· (5 ) S I' ht-Starbright Children's Foundation Mid-Atlantic (10 years) and Inova Hospital (10 years) .

CO eneral Manager of both Holistic Remedies LLC (3 years) and Organic Wellness LLC(3 years- 5 I t ' • ' • t ' I mo o of the top licensed Cultivation Centers in Washington DC, home of one of the country's most

highly regulated medical marijuana programs. Under his tenure, both licensees have become the District's only operators to cultivate and manufacture high CBD medical marijuana products produced specifically to address qualifying registered children-patients suffering from seizures and associated symptoms. These trend setting health care companies have flawless compliance records and boast a strong relationship with program regulators, including the Metropolitan Police Department.

C~health care experience includes serving as Board Member of (1) the National Brain Tumor So~Futures Academy, a charter school for unwed mothers and daycare for their infants (2 years), and (3) Starlight-Starbright Children's Foundation Mid-Atlantic (including tenures as its Treasurer, VP and President), a non~profit dedicated to improving the quality oflife for children with chronic life-threatening illnesses and life-altering injuries by providing entertainment, education and family activities (13 years).

Richard serves ns a Board Member ofSWC Tempe and SWC Prescott (2 years each), each a non-profit medical marijuana company licensed by the state of Arizona pursuant to its highly regulated program serving thousands of the state's registered patients for the Inst several years. Both companies hold licenses for a Dispensary (located in Tempe and Prescott, respectively) and a Cultivation Center (indoor and greenhouse facilities located in Wickenburg and Chino Valley).

anaging Member and CEO/President of Organic Wellness LLC, a Cultivation Center licensee vetted and shington DC's Medical Marijuana Program regulators (3 years- 5 months operationally). Organic

Wellness was among the quickest licensees to build out its commercial facility and commence operations pursuant to District law.

Information on this page has been reviewed by the applic indicated by the initials of the authorized signatory here:




Application 2._ of _3 __ Applicant Non-Profit Corporation--------- ------

19. Describe the experience, and length of experience, of the Corporation's Chief Executive Officer, Chief Operations Officer, and Chief Financial Officer with providing services for marijuana for medical purposes.

CE is Managing Member and CEO/President of Holistic Remedies LLC, the District of Columbia's first licensed medical marijuana Cultivation Center, offering a variety of high quality medical marijuana strains, including high CBD strains, and medical marijuana infused products to qualifying DC patients since 2012. Holistic Remedies is one of only 7 operational Cultivation Centers in the District and has a perfect compliance record to date, undergoing comprehensive regulatory inspections on a monthly basis. In addition to its exemplary status as a model licensee, medical-grade products manufactured by Holistic Remedies have never failed testing and arc regularly requested by name from registered patients.

I CO General Manager of both Holistic Remedies LLC (3 years) and Organic Wellness LLC (3 years-5 m , two of the top licensed Cultivation Centers in DC, home ofone of the country's most highly I ' ' I T

regulated medical marijuana programs. Under his tenure, both licensees have become DCs only operators to produce high CBD medical marijuana products manufactured specifically to address qualifying registered children-patients suffering from seizures and associated symptoms. Both companies have flawless compliance records, boast strong relationships with program regulators and the Metropolitan Police Department, and have consistently supplied safe, high-quality medical-grade marijuana products to DC's 4200+ registered patients. Neither cultivation facility has suffered a crop failure or large-scale pest/disease infiltration and arc leading the program in the consistent supply of top quality medicine.

CF~erves as a Board Member of SWC Tempe and SWC Prescott (2 years each), each a non-profit medical marijuana company licensed by Arizona pursuant to its highly regulated program serving thousands of the state's registered patients for the last several years. Both companies hold licenses for dispensaries (Tempe and Prescott, respectively) and a Cultivation Center (Wickenburg and Chino Valley). The AZ cultivation facilities include indoor and greenhouse cultivation methods to provide a consistent and predictable supply of medical-grade marijuana products and affordable price points.

lso Managing Member and CEO/President of Organic Wellness LLC (3 years- S months operationally), a u hvahon Center licensee vetted and approved by Washington DC's Medical Marijuana Program regulators. Organic

Wellness was awarded a license during the program's second round of issuances in 2014 and was among the quickest licensees to build out its indoor cultivation facility and commence operations.

Collectively, Holistic Industries' executive team has facilitated the cultivation and dispensing of contaminant-free, medical-grade marijuana products to thousands of individual patients registered. Their years of industry-specific experience in strictly medical state-run programs is second to none.

lnfonnation on this page has been reviewed by the indicated by the initials of the authorized signatory

ere provided by the applicant, is accurate and complete, as


Holtsttc lndustnes, lnc.

Application l._ of _3 __ Applicant Non-Profit Corporation---------------

36. Provide a summary of the RMD's policies and procedures for the provision of marijuana for medical use to registered qualifying patients with verified financial hardship without charge or at less than the

Holistic will offer registered qualifying patients with verified financial hardship, as such tennis defined in 105 CMR 725.004, subsidized access to products and services on a sliding scale basis detennined by need (potentially up to 100% off of retail prices). Specifically, Holistic will offer subsidies to patients who are verified recipients of MassHealth and/or Supplemental Security Income, and patients whose income do not exceed 300% of the poverty level, adjusted for family size.

To qualify for hardship subsidies, a patient must complete our Subsidy Request Application Fonn and submit proof of financial hardship, such as pay stubs, recent tax returns, MassHealth ID cards, or SSI letters, which will be reviewed by dispensary management who will ultimately decide the appropriate level of discount based on need in accordance with the company's approved subsidy qualifications fonnula. Qualifying patients will have to renew their participation in the financial hardship program on an annual basis.

In recognition of the diverse qualifying conditions, some of which are best addressed using vaporization as a means of administration, our RMD will offer discounts and/or deferred payment plans for financial hardship program participants to purchase vaporizer equipment. Such equipment can be relatively expensive for the highest quality products, so we will take steps to assure both affordability and access to these preferred medical devices.

Infonnation on this page has been reviewed by the a indicated by the initials of the authorized signatory h




Applicant Non-Profit Corporation-------------

SECTION D. EMPLOYMENT AND EDUCATION FORM

This Employment and Education form must be completed and signed by each of the following individuals: The Corporation's Chief Executive Officer, Chief Operations Officer, Chief Financial Officer, individual/entity responsible for marijuana for medical use cultivation operations, and individual/entity responsible for the RMD security plan and security operations. Submit one Employment and Education form for each of the above individuals when submitting a Management and Operations Profile to the Department of Public Health.

Name .... Residential Address

Title (at applicant non-profit corporation)

Treasurer, Director, Chief Financial Officer

Name of Applicant Non-Profit Corporation I Holistic Industries, Inc.

Highest Education Attained - Institution, Degree, and Year

BBA from Adelphi University, 1975

Management and Operations Profile - Employment and Education Form • Page I


Applicant Non-Profit Corporation-------------

Past 10 Years of Employment by Employer, Title and Time Period. List chronologically, beginning with most recent employment. Add more forms if space is needed for additional employment history entries.

Employer Title Time Period

Organic Wellness LLC Managing Member, CEO/President 2012-present

Schneider's of Capitol Hill Treasurer (past President) 1980-present

nalties of perjury, I agree and attest that all information included in this fonn is complete

12/04/2015

Date Signed

Management and Operations Profile - Employment and Education Form - Page 2

Documents

r~~ C1 2,5. ~o ~ I lJl m · 2018-04-27 · William Francis Galvin Secretary of the Commonwealth mw rJomnwnweaulv ff J~a&ett& Jea 1da{y [!/ tlw Convnomoeait-lv Jlat-e-.9t0u.r.~ {il{odoll;