Medical Marijuana Dispensary Permit Application

Department of Health Use Only # Received

You may apply for one dispensary permit in this application for any of the medical marijuana regions listed below. A separate application must be submitted for each primary dispensary location sought by the applicant. Please see the Medical Marijuana Organization Permit Application Instructions for a table of the counties within each medical marijuana region and the counties in which you are eligible to locate your primary dispensary.

Please check to indicate the medical marijuana region, and specify the county, for which you are applying for a dispensary permit:

☐ Northwest ☐ Northcentral ☐ Northeast ☒ Southwest ☐ Southcentral ☐ Southeast

County 1 (Primary Dispensary Location): Allegheny County 2 (if applicable): Westmoreland County 3 (if applicable): Beaver

1 Updated February 1, 2017 – See Guidance Pennsylvania Department of Health Medical Marijuana Dispensary Permit Application Medical Marijuana Dispensary Permit Application

Part A - Applicant Identification and Dispensary Information (Scoring Method: Pass/Fail) FOR THIS PART, THE APPLICANT IS REQUIRED TO PROVIDE BACKGROUND AND CONTACT INFORMATION FOR THE BUSINESS OR INDIVIDUAL APPLYING FOR A DISPENSARY PERMIT, THE PRIMARY DISPENSARY LOCATION, ALONG WITH ANY SECOND OR THIRD DISPENSARY LOCATIONS THAT ARE BEING SOUGHT UNDER THE APPLICATION.

Section 1 – Applicant Name, Address and Contact Information Business or Individual Name and Principal Address Business Name, as it appears on the applicant’s certificate of incorporation, charter, bylaws, partnership agreement or other legal business formation documents:

PennAlt Organics Inc Other trade names and DBA (doing business as) names:

N/A Business Address: 629 Wood Street City: Harmony State: PA Zip Code: 16037 Phone: 724.473.4258 Fax: 724.473.4259 Email: DOH REDACTION

☒Primary Contact, or ☐Registered Agent for this Application Name: John Smolic DOH REDACTED

Section 2 – Dispensary Information THE APPLICANT IS REQUIRED TO PROVIDE A PRIMARY DISPENSARY LOCATION. THE APPLICANT MAY INCLUDE A SECOND OR THIRD LOCATION UNDER THIS APPLICATION. A SECOND OR THIRD DISPENSARY MAY BE ADDED TO A DISPENSARY PERMIT AT A LATER DATE THROUGH THE FILING OF AN APPLICATION FOR ADDITIONAL DISPENSARY LOCATIONS.

By checking “Yes,” you affirm that you possess the ability to obtain in an expeditious ☒ ☐ manner the right to use sufficient land, buildings and other premises and equipment to Yes No properly carry on the activity described in the medical marijuana dispensary permit application, and any proposed location for a dispensary.

Primary Dispensary Location (please indicate dispensary name as you would like it to appear on the dispensary permit)

Pennsylvania Department of Health Medical Marijuana Dispensary Permit Application

Facility Name: PennAlt Organics Inc Address: 4500 Ohio River Boulevard City: Bellevue State: PA Zip Code: 15202 County: Allegheny Municipality: Bellevue PLEASE PROVIDE A DESCRIPTION OF THE PUBLIC ACCESS TO THE DISPENSARY LOCATION, INCLUDING ANY LOCAL PUBLIC TRANSPORTATION THAT MAY BE AVAILABLE:

4500 Ohio River Boulevard Bellevue, Pennsylvania 15202

The PennAlt dispensary will be located on a 0.25 acre Commercial retail-trade zoned parcel at the intersection of Ohio River Boulevard and Riverview Avenue. The location is positioned on Ohio River Boulevard and is a 1 minute walk (312 feet) from Port Authority of Allegheny bus route 14, which stops directly adjacent from our proposed dispensary location and has well lit areas with pedestrian walkways that are evenly graded with minimal change in elevation. In addition to traditional county bus service, PennAlt has also incorporated the following services into our overall community awareness for transportation specific outreach:

• ACCESS Paratransit: Provided by the Port Authority of Allegheny, ACCESS is a door-to-door, advance reservation, shared-ride transportation program offering special discount pricing for people with disabilities regardless of age and for people aged 65 or over. ACCESS provides service 7 days a week and operates from 6:00 a.m. to midnight, with no restriction on the purpose of the rider’s trip or number of trips that may be taken by a rider.

• Medical Assistance Transportation Program (MATP): Provide by the Pennsylvania Department of Human Services, MATP provides transportation to medical appointments for Medical Assistance recipients who do not have either personal or shared transportation available to them.

Along with county bus services, local taxi providers and car sharing companies (Uber and Lyft) are well equipped to meet the needs of patients without the availability of private transportation.

Ohio River Boulevard (65th Infantry Memorial Highway, Route 65) is a 51 mile (82 kilometer)-long state highway located in western Pennsylvania. The route follows a mostly north – south alignment with its south terminus at an interchange of Interstate 279 (I-279) and US Route 19 Truck and its north terminus at an interchange of PA 108 and PA 168 in New Castle, running through the entire Bellevue borough.

The major junctions of Ohio River Boulevard are:

• South End o US Route 19 o PA 51 o Interstate 279 • North End o Interstate 79 o PA 18 o PA 288

Pennsylvania Department of Health Medical Marijuana Dispensary Permit Application

Second Dispensary Location Facility Name: PennAlt Organics Inc Address: 7785 Route 30 City: North Huntingdon State: PA Zip Code: 15624 County: Westmoreland Municipality: North Huntingdon Twp PLEASE PROVIDE A DESCRIPTION OF THE PUBLIC ACCESS TO THE DISPENSARY LOCATION, INCLUDING ANY LOCAL PUBLIC TRANSPORTATION THAT MAY BE AVAILABLE:

7785 Route 30 North Huntingdon, Pennsylvania 15642

The PennAlt dispensary will be located on a vacant parcel at the intersection of old Route 30 and Thompson Lane with ample space for vehicular access, parking, and overall traffic triage and control. Upon building our dispensary, we will ensure that the location is will lit and features pedestrian walkways that are evenly graded with minimal change in elevation. The location is positioned on old Route 30 and is currently not serviced by the Westmoreland Transit Authority. Considering the current circumstances of public transportation in and around the Huntingdon area, PennAlt has also incorporated the following services into our overall community awareness for transportation specific outreach:

Along with county bus services, local taxi providers and car sharing companies (Uber and Lyft) are well equipped to meet the needs of patients without the availability of private transportation.

Old Route 30 runs parallel to U.S. Route 30, a 333 mile (536 kilometer)-long state highway that traverses the southern part of the Commonwealth from Philadelphia to Pittsburgh. The route follows a mostly west – east alignment, with its western terminus at the West Virginia state line in Chester and its eastern terminus at the Benjamin Franklin Bridge over the Delaware river into New Jersey.

The major junctions of Route 30 are:

• West End o West Virginia State Line (Chester) o Interstate 376 (I-376) o Interstate 79 (1-79) o Interstate 76 (I-76) o Interstate 99 (I-99) o Interstate 70 (I-70) • East End o Interstate 676 (I-676) o New Jersey State Line (Camden)

Pennsylvania Department of Health Medical Marijuana Dispensary Permit Application

In all, Route 30 extends into - Beaver and Allegheny Counties, Westmoreland and Somerset Counties, Bedford and Fulton Counties, Franklin and Adams Counties, York and Lancaster Counties, Chester and Delaware Counties, Montgomery and Philadelphia Counties

Third Dispensary Location Facility Name: PennAlt Organics Inc Address: 2665 Brodhead Road City: Aliquippa State: PA Zip Code: 15001 County: Beaver Municipality: Aliquippa PLEASE PROVIDE A DESCRIPTION OF THE PUBLIC ACCESS TO THE DISPENSARY LOCATION, INCLUDING ANY LOCAL PUBLIC TRANSPORTATION THAT MAY BE AVAILABLE:

2665 Brodhead Road Aliquippa, Pennsylvania 15001

The PennAlt dispensary will be located adjacent to the intersection of Brodhead Road and Anderson Mill Road. The location is positioned on Brodhead Road and is a 3 minute walk (0.1 mile) from Beaver County Transit Authority bus route 2, which stops directly in font of The Shoppes on Brodhead shopping complex which features pedestrian walkways that are evenly graded with minimal change in elevation. In addition to traditional county bus service, PennAlt has also incorporated the following services into our overall community awareness for transportation specific outreach:

Along with county bus services, local taxi providers and car sharing companies (Uber and Lyft) are well equipped to meet the needs of patients without the availability of private transportation.

Brodhead Road (PA 18) is a 205 mile (330 kilometer)-long state highway located in the western Pennsylvania that traverses the entire Commonwealth. The route follows a mostly north – south alignment, with its northern terminus at PA 5 in Lake City and its southern terminus at West Virginia Route 69 at the state line in Greene County.

The major junctions of Brodhead Road are:

• North End - PA 5 in Lake City • South End - Interstate 70 (I-70), Interstate 376 (I-376), Interstate 76 (I-76), Interstate 80 (I-80), US Route 22

In all, Brodhead Road (PA 18) extends into: Greene County, Washington County, Beaver County, Lawrence County, Mercer County, Crawford County, Erie County

Pennsylvania Department of Health Medical Marijuana Dispensary Permit Application

Part B – Diversity Plan (Scoring Method: 100 Points) IN ACCORDANCE WITH SECTION 615 OF THE ACT (35 P.S. § 10231.615), AN APPLICANT SHALL INCLUDE WITH ITS APPLICATION A DIVERSITY PLAN THAT PROMOTES AND ENSURES THE INVOLVEMENT OF DIVERSE PARTICIPANTS AND DIVERSE GROUPS IN OWNERSHIP, MANAGEMENT, EMPLOYMENT, AND CONTRACTING OPPORTUNITIES. DIVERSE PARTICIPANTS INCLUDE A PERSON, INCLUDING A NATURAL PERSON; INDIVIDUALS FROM DIVERSE RACIAL, ETHNIC AND CULTURAL BACKGROUNDS AND COMMUNITIES; WOMEN; VETERANS; INDIVIDUALS WITH DISABILITIES; CORPORATION; PARTNERSHIP; ASSOCIATION; TRUST OR OTHER ENTITY; OR ANY COMBINATION THEREOF, WHO ARE SEEKING A PERMIT ISSUED BY THE DEPARTMENT OF HEALTH TO GROW AND PROCESS OR DISPENSE MEDICAL MARIJUANA. DIVERSE GROUPS INCLUDE THE FOLLOWING BUSINESSES THAT HAVE BEEN CERTIFIED BY A THIRD-PARTY CERTIFYING ORGANIZATION: A DISADVANTAGED BUSINESS, MINORITY-OWNED BUSINESS, AND WOMEN-OWNED BUSINESS AS THOSE TERMS ARE DEFINED IN 74 PA. C.S. § 303(B); AND A SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS OR VETERAN-OWNED SMALL BUSINESS AS THOSE TERMS ARE DEFINED IN 51 PA. C.S. § 9601.

Section 3 – Diversity Plan By checking “Yes,” the applicant affirms that it has a diversity plan that establishes a ☒ ☐ goal of opportunity and access in employment and contracting by the medical Yes No marijuana organization. The applicant also affirms that it will make a good faith effort to meet the diversity goals outlined in the diversity plan. Changes to the diversity plan must be approved by the Department of Health in writing.

The applicant further agrees to report participation level and involvement of Diverse Participants and Diverse Groups in the form and frequency required by the Department, and to provide any other information the Department deems appropriate regarding ownership, management, employment, and contracting opportunities by Diverse Participants and Diverse Groups.

DIVERSITY PLAN

IN NARRATIVE FORM BELOW, DESCRIBE A PLAN THAT ESTABLISHES A GOAL OF DIVERSITY IN OWNERSHIP, MANAGEMENT, EMPLOYMENT AND CONTRACTING TO ENSURE THAT DIVERSE PARTICIPANTS AND DIVERSE GROUPS ARE ACCORDED EQUALITY OF OPPORTUNITY. TO THE EXTENT AVAILABLE, INCLUDE THE FOLLOWING:

1. The diversity status of the Principals, Operators, Financial Backers, and Employees of the Medical Marijuana Organization. 2. An official affirmative action plan for the Medical Marijuana Organization. 3. Internal diversity goals adopted by the Medical Marijuana Organization. 4. A plan for diversity-oriented outreach or events the Medical Marijuana Organization will conduct during the term of the permit.

Pennsylvania Department of Health Medical Marijuana Dispensary Permit Application

5. Contracts with diverse groups and the expected percentage and dollar amount of revenues that will be paid to the diverse groups. 6. Any materials from the Medical Marijuana Organization’s mentoring, training, or professional development programs for diverse groups. 7. Any other information that demonstrates the Medical Marijuana Organization’s commitment to diversity practices. 8. A workforce utilization report including the following information for each job category within the Medical Marijuana Organization: a. The total number of persons employed in each job category, b. The total number of men employed in each job category, c. The total number of women employed in each job category, d. The total number of veterans in each job category, e. The total number of service-disabled veterans in each job category, and f. The total number of members of each racial minority employed in each job category. 9. A narrative description of your ability to record and report on the components of the diversity plan.

Executive Summary PennAlt is committed to continuing to build a diverse and inclusive workplace and organization. As is discussed throughout this application, PennAlt’s current employees, Medical and Strategic Advisory Councils, and Board of Directors come from a broad range of social and cultural backgrounds, with diverse experiences. The goal of PennAlt’s Diversity and Inclusion Plan, laid out below, is to further increase diversity in ownership, management, employment, and contracts to ensure that diverse participants are diverse groups are accorded equality of opportunity. In addition to promoting and expanding diversity and inclusion within its organization, PennAlt is committed to developing partnerships with other organizations and businesses led by individuals from diverse backgrounds

Diversity and Inclusion are core values at PennAlt. We seek to draw together individuals with diverse histories and viewpoints because we believe doing so promotes innovation and better positions us to provide the best service to all Pennsylvanians. PennAlt recognizes that maintaining diversity in its organization and in its partnerships will require continued effort. Accordingly, PennAlt is committed not only to equality of opportunity in hiring and contracts, but also to creating an inclusive environment of mutual respect and support. As requested by the application, PennAlt addresses the following below:

• Diversity Status of Principals, Financial Backers and Employees • PennAlt’s Diversity and Inclusion Plan o Equal Employment Opportunity and Affirmative Action Plan o Internal Diversity Goals and Training o Diversity-Oriented Community Engagement o Contracts with Diverse Groups • Ability to Record and Report on the Components of the Diversity Plan • Workforce Utilization Report

Pennsylvania Department of Health Medical Marijuana Dispensary Permit Application

IF MORE SPACE IS REQUIRED, PLEASE SUBMIT ADDITIONAL INFORMATION ON OTHER INDIVIDUALS IN A SEPARATE DOCUMENT TITLED “EMPLOYEES (CONTD.)” IN ACCORDANCE WITH THE ATTACHMENT FILE NAME FORMAT REQUIREMENTS AND INCLUDE IT WITH THE ATTACHMENTS.

Pennsylvania Department of Health Medical Marijuana Dispensary Permit Application

IF MORE SPACE IS REQUIRED FOR THE OPERATIONAL TIMETABLE, PLEASE SUBMIT ADDITIONAL INFORMATION IN A SEPARATE DOCUMENT TITLED “OPERATIONAL TIMETABLE (CONTD.)” IN ACCORDANCE WITH THE ATTACHMENT FILE NAME FORMAT REQUIREMENTS AND INCLUDE IT WITH THE ATTACHMENTS.

Section 9 – Employee Qualifications, Description of Duties and Training

A. PLEASE PROVIDE A DESCRIPTION OF THE DUTIES, RESPONSIBILITIES, AND ROLES OF EACH PRINCIPAL, FINANCIAL BACKER, OPERATOR AND EMPLOYEE.

Pennsylvania Department of Health Medical Marijuana Dispensary Permit Application

B. PLEASE DESCRIBE THE EMPLOYEE QUALIFICATIONS OF EACH PRINCIPAL AND EMPLOYEE.

Pennsylvania Department of Health Medical Marijuana Dispensary Permit Application

C. PLEASE DESCRIBE THE STEPS THE APPLICANT WILL TAKE TO ASSURE THAT EACH PRINCIPAL AND EMPLOYEE WILL MEET THE TWO-HOUR TRAINING REQUIREMENT UNDER THE ACT AND REGULATIONS.

Pennsylvania Department of Health Medical Marijuana Dispensary Permit Application

Please limit your response to no more than 5,000 words.

Section 10 – Security and Surveillance A DISPENSARY MUST HAVE SECURITY AND SURVEILLANCE SYSTEMS, UTILIZING COMMERCIAL-GRADE EQUIPMENT, TO PREVENT UNAUTHORIZED ENTRY AND TO PREVENT AND DETECT DIVERSION, THEFT, OR LOSS OF ANY MEDICAL MARIJUANA OR MEDICAL MARIJUANA PRODUCTS.

PLEASE PROVIDE A SUMMARY OF YOUR PROPOSED SECURITY AND SURVEILLANCE EQUIPMENT AND MEASURES THAT WILL BE IN PLACE AT YOUR PROPOSED FACILITY AND SITE. THESE MEASURES SHOULD COVER, BUT ARE NOT LIMITED TO, THE FOLLOWING: GENERAL OVERVIEW OF THE EQUIPMENT, MEASURES AND PROCEDURES TO BE USED, ALARM SYSTEMS, SURVEILLANCE SYSTEM, STORAGE, RECORDING CAPABILITY, RECORDS RETENTION, PREMISES ACCESSIBILITY, AND INSPECTION/SERVICING/ALTERATION PROTOCOLS.

DOH REDACTED

Pennsylvania Department of Health Medical Marijuana Dispensary Permit Application

• The identification number of each member of the delivery team accompanying ☒ ☐ the transport.

• When a delivery team delivers medical marijuana to multiple medical marijuana ☒ ☐ organizations, the transport manifest must correctly reflect the specific medical marijuana in transit; each recipient will also provide the dispensary with a printed receipt for the medical marijuana received.

• All medical marijuana being transported must be packaged in shipping containers ☒ ☐ and labeled in accordance with §§ 1151.34 and 1161.28 (relating to packaging and labeling of medical marijuana; and labels and safety inserts).

• Separate copies of the transport manifest will be provided to each recipient ☒ ☐ receiving the medical marijuana product described in the transport manifest. To maintain confidentiality, a dispensary may prepare separate manifests for each recipient.

• The applicant acknowledges that, upon request, a copy of the printed transport ☒ ☐ manifest, and any printed receipts for medical marijuana being transported, will be provided to the Department or its authorized agents, law enforcement, or other Federal, State, or local government officials if necessary to perform the government officials’ functions and duties.

PLEASE PROVIDE AN EXPLANATION OF ANY RESPONSES ABOVE THAT WERE ANSWERED AS A “NO” AND HOW YOU WILL MEET THESE REQUIREMENTS BY THE TIME THE DEPARTMENT DETERMINES YOU TO BE OPERATIONAL UNDER THE ACT AND REGULATIONS:

Please limit your response to no more than 5,000 words.

C. PLEASE DESCRIBE YOUR PLAN REGARDING THE TRANSPORTATION OF MEDICAL MARIJUANA AND MEDICAL MARIJUANA PRODUCTS. FOR EXAMPLE, EXPLAIN WHETHER YOU PLAN TO MAINTAIN YOUR OWN TRANSPORTATION OPERATION AS PART OF THE FACILITY OPERATION, OR WHETHER YOU WILL USE A THIRD-PARTY CONTRACTOR. IF YOU CHOOSE TO USE YOUR OWN TRANSPORTATION OPERATION, PLEASE PROVIDE THE NUMBER AND TYPE OF VEHICLES THAT WILL BE USED TO TRANSPORT MEDICAL MARIJUANA AND MEDICAL MARIJUANA PRODUCTS, THE TRAINING THAT WILL BE PROVIDED TO EMPLOYEES THAT WILL TRANSPORT MEDICAL MARIJUANA AND MEDICAL MARIJUANA PRODUCTS, AND ANY ADDITIONAL MEASURES YOU WILL TAKE TO PREVENT DIVERSION DURING TRANSPORT. IF YOU WILL BE USING A THIRD-PARTY CONTRACTOR FOR TRANSPORTING MEDICAL MARIJUANA AND MEDICAL MARIJUANA PRODUCTS, PLEASE EXPLAIN THE STEPS YOU WILL TAKE TO GUARANTEE THE THIRD-PARTY CONTRACTOR WILL BE COMPLIANT WITH THE TRANSPORTATION REQUIREMENTS UNDER THE ACT AND REGULATIONS:

Pennsylvania Department of Health Medical Marijuana Dispensary Permit Application DOH REDACTED

Pennsylvania Department of Health Medical Marijuana Dispensary Permit Application

disposed of, as required by § 1151.40 (relating to the management and disposal of medical marijuana waste).

• All storage areas will be maintained in a clean and orderly condition and free from ☒ ☐ infestation by insects, rodents, birds, and pests.

• A separate and secure area for temporary storage of medical marijuana that is ☒ ☐ awaiting disposal will be established.

B. PLEASE DESCRIBE YOUR PLANS REGARDING THE STORAGE OF MEDICAL MARIJUANA AND MEDICAL MARIJUANA PRODUCTS WITHIN YOUR FACILITY:

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Pennsylvania Department of Health Medical Marijuana Dispensary Permit Application

B. PLEASE DESCRIBE YOUR PROCESS FOR CREATING AND MONITORING THE LABELING USED FOR MEDICAL MARIJUANA PRODUCTS: DOH REDACTED

Pennsylvania Department of Health Medical Marijuana Dispensary Permit Application

• The written or electronic record will include the date of the inventory, a summary ☒ ☐ of the inventory findings, and the employee identification numbers and titles or positions of the individuals who conducted the inventory.

Please limit your response to no more than 5,000 words.

C. PLEASE DESCRIBE YOUR APPROACH REGARDING THE IMPLEMENTATION OF AN INVENTORY MANAGEMENT PROCESS. THIS APPROACH MUST ALSO INCLUDE A PROCESS THAT PROVIDES FOR THE RECALL OF MEDICAL MARIJUANA PRODUCTS AND THE MANAGEMENT OF MEDICAL MARIJUANA PRODUCT RETURNS FROM YOU TO THE ORIGINATING GROWER/PROCESSOR:

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Section 15 – Diversion Prevention

A. PLEASE PROVIDE A SUMMARY OF THE PROCEDURES THAT YOU WILL IMPLEMENT AT EACH PROPOSED FACILITY FOR THE PREVENTION OF THE UNLAWFUL DIVERSION OF MEDICAL MARIJUANA AND MEDICAL MARIJUANA PRODUCTS, ALONG WITH THE PROCESS THAT WILL BE FOLLOWED WHEN EVIDENCE OF THEFT/DIVERSION IS IDENTIFIED:

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Section 16 – Sanitation and Safety

A. PLEASE PROVIDE A SUMMARY OF THE INTENDED SANITATION AND SAFETY MEASURES TO BE IMPLEMENTED AT EACH PROPOSED FACILITY LISTED IN THE PERMIT APPLICATION. THESE MEASURES SHOULD COVER, BUT ARE NOT BE LIMITED TO, THE FOLLOWING: A WRITTEN PROCESS FOR CONTAMINATION PREVENTION, PEST PROTECTION PROCEDURES, MEDICAL MARIJUANA PRODUCT HANDLER RESTRICTIONS, AND HAND-WASHING FACILITIES.

Executive Summary

PennAlt’s plan for sanitation and safety for our dispensary facility has been designed to meet or exceed the requirements of the Pennsylvania Medical Marijuana Act, 35 P.S. § 10231.101, et seq., and the Department of Health’s temporary regulations at 28 Pa. Code Chapter 1161 and includes the following elements::

• Employee Safety and Health Goals • SOPs for Personal Protective Equipment • Extraction Safety Standards • Medical Marijuana Handler Restrictions • Handwashing facilities • Cross-Contamination Prevention Practices • Equipment Inspection and Calibration Schedules • Pest Protection Procedures

Confidential Response

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Section 17 – Recordkeeping

A. PLEASE PROVIDE A SUMMARY OF YOUR RECORDKEEPING PLAN AT EACH PROPOSED FACILITY LISTED IN THE PERMIT APPLICATION. THIS PLAN SHOULD COVER, BUT IS NOT LIMITED TO, RECORDS OF INVENTORY AND ALL DISPENSING TRANSACTIONS:

Executive Summary

PennAlt’s plan for recordkeeping to be used in our dispensary facility has been designed to meet or exceed the requirements of the Pennsylvania Medical Marijuana Act, 35 P.S. § 10231.101, et seq., and the Department of Health’s temporary regulations at 28 Pa. Code Chapters 1141 and 1161. PennAlt’s plan includes the following elements, which are discussed in detail below:

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Finally, PennAlt has assembled a team of experience Pennsylvania architects and engineers, who have built numerous state-of-the-art medical and manufacturing facilities, including the bio-medical laboratories at Allegheny Health Network and UPMC Children’s Hospital. This talented team has designed PennAlt dispensary facilities that can efficiently executed to become operational within six months.

Below, PennAlt provides more detail on the following members of its team:

• Board of Directors • Business Leaders • Medical Professionals • National Medical Marijuana Expertise • Architects and Engineers and Capacity to Become Operational

Confidential Response:

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Part F – Community Impact (Scoring Method: 100 Points)

SECTION 23 – COMMUNITY IMPACT PLEASE BE ADVISED, INDICATION OF SUPPORT FROM PUBLIC OFFICIALS WILL NOT BE CONSIDERED WHEN EVALUATING THIS SECTION.

PROVIDE A SUMMARY OF HOW THE APPLICANT INTENDS TO HAVE A POSITIVE IMPACT ON THE COMMUNITY WHERE ITS OPERATIONS ARE PROPOSED TO BE LOCATED:

Overview

PennAlt is committed to making positive contributions to the quality of life in Pennsylvania. Achieving that goal begins with relationships: establishing and nurturing mutually beneficial relationships with the communities where we operate and with organizations and business across Pennsylvania will enable us to deliver the highest value possible to all Pennsylvanians. Through working with others, we will be able to work in service of the health and well-being of individuals who need medical treatment and care, so that they in turn can contribute to healthy, safe, vibrant communities.

Below, PennAlt describes the various partnerships and alliances it has already established, identifies its key employees and advisors, and then outlines its Community Impact Plan.

Partner Organizations and Alliances

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ADDITIONAL ATTACHMENTS: Please list any other documents you are submitting as part of this application: File Name Name of Document Purpose PennAlt Organics Dispensary Attachment R – Additional Information for Inc._03202017_Dispensary_Attachment Principals, Financial Section 4 A because of R.pdf Backers, Operators insufficient space (Contd.) PennAlt Organics Dispensary Attachment S – Additional Information for Inc._03202017_Dispensary_Attachment Employees (Contd.) Section 4 B because of S.pdf insufficient space PennAlt Organics Dispensary Attachment T – Additional Information for Inc._03202017_Dispensary_Attachment Owners of the Corporation Section 21 A-B because of T.pdf (Contd.) insufficient space

C O M M O N W E A L T H O F P E N N S Y L V A N I A

D E P A R T M E N T O F S T A T E

03/15/2017

TO ALL WHOM THESE PRESENTS SHALL COME, GREETING:

PennAlt Organics Inc

I, Pedro A. Cortés, Secretary of the Commonwealth of Pennsylvania, do hereby certify that the foregoing and annexed is a true and correct copy of

Amendment filed on Mar 9, 2017 - Pages (1) which appear of record in this department.

Certification Number: TSC170315171413-1

Verify this certificate online at http://www.corporations.pa.gov/orders/verify.aspx

ATTACHMENT C

Primary Dispensary Location

4500 Ohio River Boulevard

Bellevue, PA 15202

Second Dispensary Location

7410/7785 US Route 301

North Huntingdon Township, PA 15624

Third Dispensary Location

2665 Brodhead Road

Aliquippa, PA 15001

1 The property is the parcel with the Tax ID # 54-12-07-0-054, recorded in DBV 2572, page 370, consisting of approximately 1.6 acres. There was some confusion between the municipality and the original owner of the property as to the correct street address for the property, specifically whether it was 7410 or 7785 U.S. Rte. 30. All parties agree to the location and boundaries of the parcel in question as described in DBV 2572, page 370, Tax ID # 54-12-07-0-054.

ATTACHMENT C

Primary Dispensary Location

4500 Ohio River Boulevard Bellevue, PA 15202

ATTACHMENT C

Second Dispensary Location

7410/7785 US Route 301 North Huntingdon Township, PA 15624

ATTACHMENT C

Third Dispensary Location

2665 Brodhead Road Aliquippa, PA 15001

PennAlt Organics, Inc. Dispensary Center [Address to be Inserted Here] Permit Number

Product Form: Product Quantity: Net Weight:

Dose(s): Species Name: Total THC by Weight: Total CBD by Weight: 629 Wood Street Cannabinoids: Harmony, PA 16037

Batch Number: 724-368-9900

Date of Packaging: Employee Identification No. (Preparing Package): Employee Identification No. (Shipping Package):

Dispensary to which Package is to be sold: Expiration Date:

For Medical Use Only. Not for Resale or Transfer Peel Here for more facts. to Another Person PennAlt Organics, Inc. Dispensary Center [Address to be Inserted Here] Permit Number

Product Form: Product Quantity: Net Weight:

Dose(s): Species Name: Total THC by Weight: Total CBD by Weight: Cannabinoids: 629 Wood Street Harmony, PA 16037 Batch Number: 724-368-9900

Date of Packaging: Employee Identification No. (Preparing Package): Employee Identification No. (Shipping Package):

Dispensary to which Package is to be sold: Expiration Date:

For Medical Use Only. Not for Resale or Transfer Peel Here for more facts. to Another Person PennAlt Organics, Inc. Dispensary Center [Address to be Inserted Here] Permit Number

Product Form: Product Quantity: Net Weight:

Dose(s): Species Name: Total THC by Weight: Total CBD by Weight: Cannabinoids:

Batch Number:

Date of Packaging: Employee Identification No. (Preparing Package): Employee Identification No. (Shipping Package):

Dispensary to which Package 629 Wood Street is to be sold: Harmony, PA 16037 Expiration Date: 724-368-9900

For Medical Use Only. Not for Resale or Transfer Peel Here for more facts. to Another Person Instructions for Use: in a safe, secure, dry, and the practitioner who issued Open cap of child resistant room temperature place the certification and, in the package containing medical unless product requires case of breastfeeding, the marijuana using pressure refrigeration. Medical infant’s pediatrician. This and a twisting motion. marijuana must be kept in product might impair the Use medical marijuana the original container in ability to drive or operate as directed by licensed which it was dispensed. heavy machinery. Keep out physician. If you are unsure of reach of children. about the amount of medical Warnings for Use: marijuana to consume, This product may be Testing: This testing was contact the licensed unlawful outside of conducted by Department physician that recommended the Commonwealth of of Health approved the use of medical marijuana. Pennsylvania and is unlawful independent testing facility. The effects of medical to possess or use under This product was tested for marijuana may be delayed. federal law. Unauthorized (1) molds, mildew and filth; For Perishable product, wait use is unlawful and will (2) microbials; (3) herbicides, at least two (2) hours after subject the purchaser or user pesticides and fungicides; an initial dose of product to criminal penalties. This and (4) harmful chemicals. and continue consumption product has intoxicating according to physician effect and may be habit recommendations. forming. There may be health risks associated with Instructions for Proper consumption of this product. Storage: Keep all medical This product is for medical marijuana, derivative use only. Women should not products, and associated consume during pregnancy accessories out of the or while breastfeeding reach of children. Store except on the advice of

ATTACHMENT N

Additional information Response to 9.A

Additional information response to 9.B

ADDITIONAL INFORMATION RESPONSIVE TO 9. A.

PennAlt Organics, Inc.

629 Wood Street • Harmony, PA 16037

ATTACHMENT O

Formation Documents for Shareholders that are Entities

ATTACHMENT P

Community Partnership Letters and Agreements

ATTACHMENT Q

Correctly Formatted Narrative for Section 12

Part D – Operational Plan, Section 12 Storage of Medical Marijuana DOH REDACTED

OWNERS OF THE CORPORATIONS (CONTD.)