MEDICAL MARIJUANA CHANGE OF OWNERSHIP CHECKLIST (This packet does not apply to Retail Marijuana) Applications will be accepted by appointment only. Call 970‐416‐4206 to schedule an appointment. Applications must be complete in all aspects. Please organize your application documents in the same order as the checklist below and place the checklist on top. Incomplete applications will not be accepted. The City Clerk=s Office will not provide notary services for application documents. MAIN APPLICATION DOCUMENTS Change of Ownership Application from MED. DR 8535 (pages 1 and 2 only) Authorization and Consent to Release Information (Business) (City of Fort Collins) Fees (certified funds or money order only, payable to ACity of Fort Collins@)  Application fee of $500 DOCUMENTS RELATING TO INDIVIDUAL PERSONS MMED Associated Key License Application Form (DR 8520). Associated Key: Any stockholder holding an interest in a marijuana licensee, or any officer or director, who also acts as a Key executive, employee or agent while physically working in a licensed establishment, Optional Premises or Infused Products Manufacturer location. Oath by Associated Person or Associated Key (Fort Collins Form) Authorization and Consent to Release Information (Individual) for each person completing a DR 8520. (Fort Collins Form) Fingerprints (2 cards) for each person named in application (officers, owners and manager). Fingerprint cards must be submitted with the application documents B not kept by the fingerprinting agency. See fingerprint instructions and important notice. Check payable to AColorado Bureau of Investigations@ for $39.50 per person (business check or money order only; no cash, or temporary or personal checks) Form of identification (must contain a photo) for each person  a state‐issued identification card  a valid state driver=s license  a military identification card  a valid passport  an alien registration card BUSINESS ENTITY DOCUMENTS Executed Sales Contract or Agreement New or Amended Operating Agreement Minutes for business entity meeting when the change is approved In the event that a person is leaving the entity, proof that the departure is voluntary (for example, a letter of resignation) PROPERTY‐RELATED DOCUMENTS Amended lease, If the current lease was personally guaranteed by a person who will no longer be an owner, OR if the name of the licensed entity is being changed. Authorization to Use Property for a Medical Marijuana Business (required only if the name of the licensed entity is being changed) (Fort Collins Form) OTHER IF the change in ownership will affect business operations, a new or amended comprehensive business operation plan containing:  a security plan which complies with the requirements of the Colorado Medical Marijuana Code and all applicable rules and regulations promulgated thereunder  a description of all products to be sold  a plan for exterior signage that is in compliance with all applicable requirement of the City Code and the Land Use Code, including photographs and/or illustrations of proposed signage  Request for Voluntary Surrender of License (if applicable) The City of Fort Collins reserves the right to request additional information and documentation throughout the course of the application review.