Cardiac Arrhythmia Syndromes Foundation, Inc - …...Cardiac Arrhythmia Syndromes Foundation, aka CAS Foundation The Commonwealth of Massachusetts Executive Office of Health and Human

CHARLES D. BAKER Governor

KARYN E. POLITO Lieutenant Governor

INSTRUCTIONS

Application # 2 of 3

Cardiac Arrhythmia Syndromes

Foundation, aka CAS Foundation

The Commonwealth of Massachusetts Executive Office of Health and Human Services

Department of Public Health Bureau of Health Care Safety and Quality

Medical Use of Marijuana Program 99 Chauncy Street, 111

h Floor, Boston, MA 02111

. . ~?lJ . .-. -.mS~ov ~~

MANAGEMENT AND OPERATIONS PROF~ P 1

1 ;0/S · D Request for a Certificate to Registration to t,9~1. o1~

Operate a Registered Marijuana Dispensary 0sto1Jq~%,~c~~ • '"'"! Q lreet 'i1lt1,

'.?1,,

This application form is to be completed by a non-profit corporation that wishes to apply for a Certificate of Registration to operate a Registered Marijuana Dispensary ("RMD") in Massachusetts, and has been invited by the Department of Public Health (the "Department") to submit a Management and Operations Profile.

Once invited by the Department to submit a Management and Operations Profile, the applicant must submit the Management and Operations Profile within 45 days from the date of the invitation letter, or the applicant must submit a new Application of Intent and fee.

If invited by the Department to submit a Management and Operations Profile for more than one proposed RMD, you must submit a separate Management and Operations Profile, attachments, and application fee for each proposed RMD. Please identify each application of multiple applications by designating it as Application I, 2 or 3 in the header of each application page. Please note that no executive, member, or any entity owned or controlled by such an executive or member, may directly or indirectly control more than three RMDs.

However, even if submitting a Management and Operations Profile for more than one RMD, an applicant need only submit one background check packet, including authorization forms for all required individuals, and fee associated with the background checks.

Unless indicated otherwise, all responses must be typed into the application forms. Handwritten responses will not be accepted. Please note that character limits include spaces.

Attachments should be labelled or marked so as to identify the question to which it relates.

Each submitted application must be a complete, collated response, printed single-sided, and secured with a binder clip (no ring binders, spiral binding, staples, or folders).

Application _2_ of]___ Cardiac Anhythmia Syndromes Foundation, Inc.

Applicant Non-Profit Corporation aka - CAS Foundation ---"'-"~-'-"";;;;.;.;;;;~--------------------

Mail or hand-deliver the Management and Operations Profile, with al I required attachments, the $30,000 application fee, and completed Remittance Form to:

Department of Public Health Medical Use of Marijuana Program

RMD Applications 99 Chauncy Street, 11th Floor

Boston, MA 02111

All fees are non-refundable and non-transferable.

REVIEW

Applications are reviewed in the order they are received.

After a completed application packet and fee is received by the Department, the Department will review the information and will contact the applicant if clarifications/updates to the submitted application materials are needed. The Department will notify the applicant whether they have met the standards necessary to be invited to submit a Siting Profile.

PROVISIONAL CERTIFICATE OF REGISTRATION

Applicants have one year from the date of the submission of the Managemenl and Operations Profile to receive a Provisional Certificate of Registration. If an applicant does not receive a Provisional of Certificate of Registration after one year, the applicant must submit a new Application of Intent and fee.

REGULATIONS

For complete information regarding registration of an RMD, please refer to I 05 CMR 725. I 00.

It is the applicant's responsibility to ensure that all responses are consistent with the requirements of I 05 CMR 725.000, et seq., and any requirements specified by the Department, as applicable.

PUBLIC RECORDS

Please note that all application responses, including all attachments, will be subject to release pursuant to a public records request, as redacted pursuant to the requirements at M.G.L. c. 4, § 7(26).

QUESTIONS

If additional information is needed regarding the RMD application process, please contact the Medical Use of Marijuana Program at 617-660-5370 or [email protected].

Information on this page has been reviewed by the appli'iilli.ind where provided by the applicant, is accurate and complete, as indicated by the initials of the authorized signatory here:--

Management and Operations Profile - Page .2

Application _2_ of 1.__ • • Cardiac Arrhythmia Syndromes Foundation, Inc.

Applicant Non-Profit Corporation _..pk=a,_· """C""'A=S ...... F....,ou..,n""'dn""'ti=on.,,__ _______ _

CHECKLIST

The fonns and documents listed below must accompany each application, and be submitted as outlined above:

[Z) A fully and properly completed Management and Operations Profile, signed by an authorized signatory of the applicant non-profit corporation (the "Corporation")

IZJ A copy of the Corporation's Articles of Incorporation

[Z) A copy of the Corporation's Certificate of Good Standing from the Massachusetts Secretary of State

[Z) A copy of the Corporation's bylaws

[Z) An Employment and Education fonn (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

[Z) A bank or cashier's check made payable to the Commonwealth of Massachusetts for $30,000

IZJ A completed Remittance Form (use template provided)

[Z) A sealed envelope with the name of the Corporation and marked ••authorization fonns,'' that contains the background check authorization fonns (use fonns provided) and fee, for each of the following actors:

• Chief Executive Officer; Chief Operating Officer; Chief Financial Officer; individual/entity responsible for marijuana for medical use cultivation operations; individual/entity responsible for the RMD security plan and security operations; each member of the Board of Directors; each Member of the Corporation, if any; and each person and entity known to date that is committed to contributing 5% or more of initial capital to operate the proposed RMD. For entities contributing initial capital to operate the proposed RMD, authorizations fonns must be completed and signed by the entity's Chief Executive Officer/Executive Director and President/Chair of the Board of Directors.

Information on this page has been reviewed by the appli-cant and where provided by the applicant, is accurate and complete, as indicated by the initials of the authorized signatory here

Management and Operations Profile - Page 3

2 3 Application __ of __

Cardiac Arrhythmia Syndromes Foundation, Inc. Applicant Non-Profit Corporation ...,a=ka._-_.C ... A=S.._.F.,,.o=un=d=at=io=n ________ _

SECTION A. APPLICANT INFORMATION

I. Cardiac Arrhythmia Syndromes Foundation, Inc. (aka· CAS Foundation)

2. 1ef Executive Officer

9 Bartlet Street 3. Unit 335

Andover, MA 01810

Address of Corporation (Street, Cityrrown, Zip Code)

4. Applicant point of contact (name of person Department of Public Health should contact regarding this application)

5. Applicant point of contact's telephone number

Applicant point of contact's e-mail address

7. Number of applications: How many Management and Operations Profiles do you intend to submit?

3

SECTION B. INCORPORATION

8. Attach a copy of the corporation's Articles of Incorporation, documenting that the applicant is a nonprofit entity incorporated in Massachusetts.

9. Attach a copy of the corporation's Certificate of Good Standing from the Massachusetts Secretary of State.

I 0. Attach a copy of the corporation's bylaws.

lnfonnation on this page has been reviewed by the appli. and where provided by the applicant, is accurate and complete, as indicated by the initials of the authorized signatory here:--


Examinc:r

c p

M

R.A.

£_ l'.C.


Qtbe. <itommon\De.altb of 3Jila.s-.s-acbu.s-itt.s William Francis Galvin

Secretary of the Commonwealth One Ashbunon Place, Boston, Massachusetts 02108-1512

ARTICLES OF ORGANIZATION {Gencnl Laws, Chapter 180)

ARTICLE I The: cx:ac;t name of the corpor:adon fs:

Cardiac Arrhythmia Syndromes Foundation. Inc.

ARTICLED 11te purpose of the corpor:atlon Is to engage in the following :ictivltla:

To Educate, Advocate and Facllltate Pro-Active Prevention of Sudden Cardiac Arrest by Cardiac Arrhythmias through •Heart Screening•; with Resources for Treatment after Detection and Support for Those Afflicted and/or Who Have Already Lost (a} Loved One(s)

Nale fl lb• •/Id« prrwllkd ,,,,,,,,,. ...,, arfld. or lle1t1 - tbu Jona u l1U1illkka. •dtllllou •ball b• HI /o'1b °" a.• •Id. Ollb' qf ••Pllrt1I• 8 112 z 11 •llm• o/ /Hl/W" Mlltb 11 ~ -,...u o/ al l•tUI I t•eb. A'411Ulo•• lo -~ 1111111 ou arflclC' 1110)' w llUUI• - 11 .,ngt. •bNt so 1ot1J1 tt• HCb IU'fkl• ,..'l"lrl• •deb 111f1#4rlo• Is d.rn~ l11dlu1111L

ARTia.Elll A corporation may have one: or more dassd of members. If it docs, the dc:slgnatiun of such classes, the mannc:r of clc:ctlon or appolntmcnts, the: duration of membership and the quallncutlon and rights, inchlding voting rights, of lhc: mc:mhc:n; of each class, may be sc:l forth In the by.Jaws of the corporation or may be set forth below:

The Corporation shan have no voting members. The management and affairs of the corporation shall be at all times under 1he direction of a Board of Directors, whose operations In governing the corporation shall be defined by statute and by 1he corporation's by-laws. No Director shall have any right. tiUe, or interest In or to any property of the corporation.

ARTICLE IV "Other lawful provisions, if any, for the conduct and n:guladon of the hlL'lincs.o; and affairs of the corporation, for Its voluntary dissolution, or for limiting, defining, or n:gulating the: powers of the corporation, or of Its directors or members, or of any d:ass of members, arc :as follows:

See Exhibit IV attached hereto and Incorporated herein by reference.

ARTICLEV The: by-laws of the corporaUon h:ivc bcc:n duly adopted and the lnllial directors, pn:sldc:nt, trc'.asun:r and clcrl< or other pn:slding, financial or recording officers, whose names arc set out on the following page, have: been duly c:lc:ctcd.

0 1f lb~ lllT no proulsluns, st11tr "/llan111•. NOie: TM /'f"U'IU.,j'ollr (4) artldu ano COll.ulnwl lo N pn.a•lll 111111 llUIJ' -~ be dlOfllllll by Jfll• appl'OjlrlllU Arff&• of A•ndnenl.

Exhibit IV

At all times the following shall operate as conditions restricting the operations and activities of the Cardiac Arrhythmia Syndromes Foundation, Inc.:

1. No part of the net earnings of the corporation shall inure to any member of the corporation not qualifying as exempt under Section 50l(c)(3) of the Internal Revenue Code of 1986, as now enacted or hereafter amended, nor to any Director or officer of the corporation, nor to any other private persons, excepting solely such reasonable compensation that the corporation shall pay for services actually rendered to the corporation, or allowed by the corporation as a reasonable allowance for authorized expenditures incurred on behalf of the corporation;

2. No substantial part of the activities of the corporation shall constitute the c81T)'ing on of propaganda or otherwise attempting to influence legislation, or any initiative or referendum before the public, and the corporation shaJJ not participate in, or intervene in (including by publication or distribution of statements), any political campaign on behalf of, or in opposition to, any candidate for public office; and

3. Notwithstanding any other provision of these articles, the corporation shall not carry on any other activities not permitted to be carried on by a corporation exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code of 1986, as now enacted or hereafter amended.

4. The corporation shall not lend any of its assets to any officer or director of this corporation, or guarantee to any person the payment of a loan by an officer or director of this corporation.

5. Upon the time of dissolution of the corporation, assets shall be distributed by the Board of Directors, after paying or making provisions for the payment of all debts, obligations, liabilities, costs and expenses of the corporation, for one or more exempt purposes within the meaning of section 501(c)(3) of the Internal Revenue Code, or the corresponding section of any future federal tax code, or shall be distributed to the federal government, or to a state or local government, for a public purpose. Any such assets not so disposed of shall be disposed of by a Court of Competent Jurisdiction of the county in which the principal office of the corporation is then located, ex.elusively for such purposes or to such organization or organizations, as said Court shall determine, which are organized and operated exclusively for such purposes.

. .

ARTICl.EVI The effective d:i.tc of organl101tlon of the corpor.1tlon shall be the: date apprm>t:d and lllcd by the Sccrctary or the: Commonwctllh. If :i /aler effective d:ite is dc:siR.-d, specify such date which sh:ill not be more than thirty days after the date of filing:

ARTICLE VU 11tc Information contained In Article VD Is not a permanent part of the Ankles of Organization.

:i. The stn:c:t nddrcss (post office boxes arc not acceptnble) of the principal office of the: corporation In Alassacbun!llS l!i:

300 Ballardvale Street, Suite 201, Andover, MA 01810

h. The name. n:sldentlnl address :md post office address of each director and officc:r of the corporation Is as follow!!:

Pn..'Sldc:nt:

Treasurer: Khristln Carroll

CICTk:

Oln:ctors: (or officers having the Khristin Carroll powc:r.1 of

POST omCE ADDRESS

same

seme

same

same

same

directors) ~ 85331 same

c. The fisa.I year of the corporation shall end on the last day of the month of: December

d. The: name and bWilness address of the resident ag<.'llt, if any, of the corporation Is:

Raymond J . Cannon, Jr., Esq. 575 Turnpike Street, Ste 12, No. Andover, MA 01845 I/We, the below signed incorporator(s). do herc:by·certify under the paln.'i and penaltlcs of perjury that I/we have not been convicted of any crimes relating to alcohol or gaming wilhln the pa.st ten years. I/We do hereby further ccnify th:at to the best of my/our knowledge the above·named officers have not been 5lmllarly convicted. If so convicted, explain.

JN Wl1'NESS WHEREOF AND UNDER THE PAINS AND PENALTIES OF PERJURY, I/we, whose slgnatutc(s) ap~-ar below as lncorporator(s) and whose ruamC(s) bwincss or residential addrcs.'>(cs) are dearly typed or printed beneath each signature, do he :; te with the intc of nning this corpor:allon under the provision.-> of General L:aw11, Chapter 180 and do h rcby lgn 1 e Articles of anl101 n as incorpor.uor(s) this 11th day of July , 20 WL.. .

:-.. .. '\.· ,, .

mpike Street, Ste 12, North Andover, MA 01845

Nmr. fl 1r• •%ltll•ll corporratto• t. an,,._ 1r• lacorporralor, type I• tk •:it#ICI - q/lb• corpomllolf. tb• tint• or othr j11rlsdlcllort "'"""' 11 tl'G• 1-'flal"lll•d. lk na- q/lb• puso• •l11tl•11 o• IH!baU qf •old corparatl- nrul lb• lllle b.t•• bolb or olb•r 11111tborll)' b)' uibleb s11cb ncllo• 16 1111••&

1.0S939S.

. .

THE COMMONWEALTII OF MASSACHUSEITS

ARTICLES OF ORGANIZATION (General Laws, Chapter 180)

I hereby cettlfy that, upon examination of these Articles of Organiz:l·

don, duly submitted to me, It appc:ani that the provisions of the General

laws relative to the organization ot corpor.atJons have been complied

With, and I hereby approve said ankles; and the filing fee in lhe amount

or$ J5 having been paid, said art~ deemed 10 ha~c been

filed with me this /7 tJay or u7 2o 0., . Effectfr1e date: 2~ 12 Uo'-Z

gpt-~ WilJ.IAM FRANCIS GALVIN

Secretary o/ lbc Commonwca/tb

TO BE Fll.I.EO IN BY CORPORATION Contact Information:

Raymond J. Cannon, Jr., Esq.

575 Turnpike Street Suite 12

Nor1h Andover, MA01845

Tclcphonc:978-989-9999

Email: [email protected]

A copy this filing will br available on-line at www.state.ma.ns/sccJcor

once the document Is filed.

I"": ~ .::. 25 :::> """ c-:>,:. 9t c._ c , .... l-

=' c: ~-r-~

~ s -.J - =~ c:. ~ r·! :x :r ... . < r-"' (./", - _. .. ---Ci r. z \0


9/he- (lomnzonwea!tlv er J ffassaclwseUB/

tfec1Yxo.y f!/thJ!/ (Jommo-m»ealtli Jtotr7 .'7I01t.rr_, rJJo.rton1 .Jf!la.r.rorA1Me/l.r 0.2/rJS

William Francis Galvin Secretary of the Commonwealth

To Whom It May Concern :

Date: June 23, 2015

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

CARDIAC ARRHYTHMIA SYNDROMES FOUNDATION, INC.

is a domestic corporation organized on July 17, 2008

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 180, Section 11, 11 A, or 11 B; that said corporation has ti led al I

annual reports, and paid al I 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.

In testimony of which,

I have hereunto affixed the

Great Seal of the Commonwealth

on the date first above written.

/f'~~~ Secretary of the Commonwealth

Certificate Number: 15063939790

Verify this Certificate at: hup://corp.sec.state.ma.us/CorpWeb/CertificatesNerify.aspx

Processed by: lad

BY-LAWS of

Cardiac Arrhythmia Syndromes Foundation, Inc.

ARTICLE I Members


Section I. Membership. The corporation shall not have any members. Any action or vote required or permitted by law to be taken by members shall be taken by action or vote of the same percentage of the Directors of the corporation.

ARTICLE II Directors

Section 1. Powers. The Board of Directors shall have the entire charge, control and management of the corporation and its property and may exercise all or any of its powers.

Section 2. Number and Election. Except as otherwise provided by these By-Laws or in the Articles of Organization, the number of Directors that shall constitute the whole Board of Directors shall be fixed, and the Directors elected, by the Directors at the annual meeting.

Section 3. Vacandes. Any vacancy at any time, existing in the Board of Directors, may be filled by the Board of Directors at any meeting.

Section 4. Enlargement of the Board of Directors. The number of the Board of Directors may be increased and one or more additional Directors may be elected at any meeting of the Directors.

Section 5. Tenure. Except as otherwise provided by law, by the Articles of Organization or by these By-Laws, Directors shall bold office until the next annual meeting of Directors and thereafter until their successors are chosen and qualified.

Section 6. Resignation. Any Director may resign by delivering his written resignation to the corporation at its principal office or to the President or Clerk. Such resignation shall be effective upon receipt unless it is specified to be effective at some other time or upon the happening of some other event.

Section 7. Removal. A Director may be removed from office with or without cause by vote of a majority of the Directors then in office. A Director may be removed for cause only after reasonable notice and opportunity to be heard before the Board of Directors.

Section 8. Annual Meeting. The date, place and time of the annual meeting of the Directors shall be fixed by the Directors. In the event that no date for the annual meeting is established or if no annual meeting is held in accordance with the foregoing provisions, a special

meeting may be held in lieu thereof, and any action taken at such meeting shall have the same effect as if taken at the annual meeting.

Section 9. Regular Meetings. Regular meetings of the Directors may be held at such times and places as shall from time to time be fixed by resolution of the Board and no notice need be given of regular meetings held at times and places so fixed, provided, however, that any resolution relating to the holding of regular meetings shall remain in force only until the next annual meeting of Directors, or the special meeting held in lieu thereof, and that if at any meeting of Directors, at which a resolution is adopted fixing the times or place or places for any regular meetings, any Director is absent, no meeting shall be held pursuant to such resolution until either each such absent Director has in writing or by electronic mail approved the resolution or seven days have elapsed after a copy of the resolution certified by the Clerk has been mailed, postage prepaid, addressed to each such absent Director at his last known home or business address.

Section JO. Special Meetings. Special meetings of the Directors may be called by the President, by the Clerk, by the Secretary, by any two Directors, or by one Director in the event that there is only one Director, and shall be held at the place designated in the notice or call thereof.

Section 11. Notices. Notices of any special meeting of the Directors shall be given to each Director by the Clerk or Secretary (a) by mailing to him, postage prepaid, and addressed to him at his address as registered on the books of the corporation, or if not so registered at his last known home or business address, a written notice of such meeting at least four days before the meeting or (b) by delivering such notice by hand, facsimile transmission, or electronic mail to him at least48 hours before the meeting at such address, notice of such meeting or (e) by giving notice to such Director in person or by telephone at least 48 hours in advance of the meeting. Such notice, if the meeting is called otherwise than by the Clerk or Secretary, may be a copy of the call of the meeting; and if the meeting is not so otherwise called, such notice given by the Clerk or Secretary shall constitute a call of the meeting by him. If the Clerk or Secretary refuses or neglects for more than twenty-four hours after receipt of a call to give notice of such special meeting, or if the offices of Clerk and Secretary are vacant or the Clerk and Secretary are absent from the Commonwealth of Massachusetts or incapacitated, such notice may be given by the officer or one of the Directors calling the meeting. Notice need not be given to any Director if a written waiver of notice, executed by him before or after the meeting, is filed with the records of the meeting, or to any Director who attends the meeting without protesting prior thereto or at its commencement the lack of notice to him. A notice or waiver of notice of a Directors' meeting need not specify the purposes of the meeting.

Section 12. Quorum. At any meeting of the Directors a majority of the Directors then in office shall constitute a quorum for the transaction of business; provided always that any number of Directors (whether one or more and whether or not constituting a quorum) constituting a majority of Directors present at any meeting or at any adjourned meeting may make any reasonable adjournment thereof.

-2-

Section 13. Action at Meeting. At any meeting of the Directors at which a quorum is present, the action of the Directors on any matter brought before the meeting shall be decided by vote of a majority of those present, unless a different vote is required by law, the Articles of Organization, or these By-Laws.

Section 14. Action by Written Consent. Any action by the Directors may be taken without a meeting if a written consent thereto is signed by all the Directors and filed with the records of the Directors' meetings. Such consent shall be treated as a vote of the Directors for all purposes.

Section 15. Committees. The Directors may, by vote of a majority of the number of Directors then in office, elect from their number an executive or other committees and may, by like vote, delegate thereto some or all of their powers except those which by law, the Articles of Organization or these By-Laws they are prohibited from delegating. Except as the Directors may otherwise determine, any such committee may make rules for the conduct of its business, but unless otherwise provided by the Directors or in such rules, its business shall be conducted as nearly as may be in the same manner as is provided by these By-Laws for the Directors. The Directors shall have the power to fill vacancies in, change the membership of, or to disband, any such committee.

Section 16. Telephone Conference Meetings. The Directors or the members of any committee may participate in a meeting of the Directors or such committee by means of a conference telephone or similar communications equipment by means of which all persons participating in the meeting can hear each other at the same time, and participation by such means shall constitute presence in person at a meeting.

ARTICLE III Officers

Section 1. Enumeration. The officers of the corporation shall be a President, a Treasurer, a Clerk, and such Vice Presidents, Assistant Treasurers, Assistant Clerks, Secretary, Assistant Secretaries and other officers as may from time to time be detennined by the Directors. The Board of Directors may appoint one of its Directors to the office of Chairman of the Board and from time to time define the powers and duties of that office.

Section 2. Election and Vacancies. The President, Treasurer and Clerk shall be elected annually by the Directors at their annual meeting or the special meeting held in lieu thereof. Other officers may be chosen by the Directors at such meeting or at any other meeting. Any vacancy at any time existing in any office may be filled by the Directors at any meeting and such successor in office shall hold office for the unexpired term of his predecessor.

Section 3. Qualification. The President may, but need not be, a Director. Any two or more offices may be held by the same person. The Clerk shall be a resident of Massachusetts unless the corporation has a resident agent appointed for the purpose of service of process. Any officer may be required by the Directors to give bond for the faithful perfonnance of his duties

-3-

to the corporation in such amount and with such sureties as the Directors may determine. The premiums for such bonds may be paid by the corporation.

Section 4. Tenure. Except as otherwise provided by law, by the Articles of Organization or by these By-Laws, the President, Treasurer and Clerk shall each hold office until the next annual meeting of Directors, or the special meeting held in lieu thereof, and thereafter until his successor is chosen and qualified. Other officers shall hold office until the next annual meeting of Directors, or the special meeting held in lieu thereof, unless a shorter term is specified in the vote choosing or appointing them.

Sedion 5. Resignation. Any officer may resign by delivering his written resignation to the corporation at its principal office or to the President or Clerk, and such resignation shall be effective upon receipt unless it is specified to be effective at some other time or upon the happening of some other event.

Section 6. Removal. The Directors may remove any officer appointed by the Directors with or without cause by a vote of a majority of the entire number of Directors then in office; provided, that an officer may be removed for cause only after reasonable notice and opportunity to be heard by the Board of Directors prior to action thereon.

Section 7. President. The President when present shall preside at all meetings of the Directors. He shall be the chief executive officer of the corporation except as the Board of Directors may otherwise provide. It shall be his duty and he shall have the power to see that all orders and resolutions of the Directors are carried into effect. He shall from time to time report to the Directors all matters within his knowledge which the interests of the corporation may require to be brought to its notice. The President shall perform such duties and have such powers additional to the foregoing as the Directors shall designate.

Section 8. Vice Presidents. In the absence or disability of the President, his powers and duties shall be performed by the Vice President, if only one, or, if more than one, by the one designated for the purpose by the Directors. Each Vice President shall have such other powers and perform such other duties as the Directors shall from time to time designate. The Directors may assign to any Vice President the title of Executive Vice President, Senior Vice President and any other title selected by the Directors.

Section 9. Treasurer. The Treasurer shall, subject to the direction of the Directors, have general charge of the financial affairs of the corporation and shall cause to be kept accurate books of accounts. He shall have custody of all funds, securities, and valuable documents of the corporation, except as the Directors may otherwise provide. He shall promptly render to the President and to the Directors such statements of his transactions and accounts as the President and Directors respectively may from time to time require. The Treasurer shall perform such duties and have such powers additional to the foregoing as the Directors may designate.

Section JO. Assistant Treasurers. In the absence or disability of the Treasurer, his powers and duties shall be performed by the Assistant Treasurer, if only one, or, if more than one, by

- 4 -

the one designated for the purpose by the Directors. Each Assistant Treasurer shall have such other powers and perfonn such other duties as the Directors shall from time to time designate.

Section 11. Clerk. The Clerk shall record in books kept for the purpose all votes and proceedings of the Directors at their meetings. The Clerk shall perform such duties and have such powers additional to the foregoing as the Directors shall designate.

Section 12. Assistant Clerks. In the absence of the Clerk from any meeting of the Directors or. the Assistant Clerk, if one be elected, or. if there be more than one designated for the purpose by the Directors. otherwise a Temporary Clerk designated by the person presiding at the meeting, shall perfonn the duties of the Clerk. Each Assistant Clerk shall have such other powers and perform such other duties as the Directors may from time to time designate.

Section 13. Secretary and Assistant Secretaries. The Secretary and each Assistant Secretary, if elected, shall have such powers and perform such duties as the Directors may from time to time designate.

ARTICLE IV Inspection of Records

Books, accounts, documents and records of the corporation shall be open to inspection by any Director at all times during the usual hours of business. The original, or attested copies. of the Articles of Organization, By-Jaws and records of all meetings of the incorporators and Directors, and records which shall contain the names of all Directors and their record addresses. shall be kept in Massachusetts at the principal office of the corporation, or at an office of the Clerk or the resident agent, if any, of the corporation. Said copies and records need not all be kept in the same office.

ARTICLEV Checks, Notes, Drafts and Other Instruments

Checks, notes, drafts and other instruments for the payment of money drawn or endorsed in the name of the corporation may be signed by any officer or officers or person or persons authorized by the Directors to sign the same. No officer or person shall sign any such instrument as aforesaid unless authorized by the Directors to do so.

ARTICLE VI Seal

The seal of the corporation shall be circular in fonn. bearing its name, the word "Massachusetts," and the year of its incorporation. The Treasurer shall have custody of the seal

-5-

and may affix it (as may any other officer if authorized by the Directors) to any instrument requiring the corporate seal.

ARTICLE VII Fiscal Year

The fiscal year of the corporation shall be the year ending with December in each year.

ARTICLE VIII Interested Directors and Officers

The Directors shall have the power to fix their compensation from time to time. No contract or transaction between the corporation and one or more of its Directors or officers, or between the corporation and any other corporation, partnership, association, or other organization in which one or more of its Directors or officers are directors or officers, or have a financial or other interest. shall be void or voidable solely for this reason, or solely because the Director or officer is present at or participates in the meeting of the Board of Directors or committee thereof which authorizes the contract or transaction, or solely because his or their votes are counted for such purpose, nor shall any Director or officer be under any liability to the corporation on account of any such contract or transaction if:

(1) The material facts as to his relationship or interest and as to the contract or transaction are disclosed or are known to the Board of Directors or the committee, and the Board or committee authorized the contract or transaction by the affirmative votes of a majority of the disinterested Directors even though the disinterested Directors be less than a quorum; or

(2) The contract or transaction is fair as to the corporation as of the time it is authorized, approved or ratified by the Board of Directors or a committee thereof.

Common or interested Directors may be counted in determining the presence of a quorum at a ·meeting of the Board of Directors or of a committee which authorizes the contract or transaction, and their votes may be counted for the purpose of a vote by the Directors approving such contract or transaction.

ARTICLE IX Indemnification

The corporation shall, to the extent legally permissible, indemnify any person serving or who has served as a Director, officer, employee or other agent of the corporation, or at its request as a Director. officer, employee or other agent of any organization, or at its request in any capacity with respect to any employee benefit plan, against all liabilities and expenses, including amounts paid in satisfaction of judgments, in compromise or as fines and penalties, and counsel fees, reasonably incurred by him in connection with the defense or disposition of any action, suit or other proceeding, whether civil or criminal, in which he may be involved or with

-6-

which he may be threatened, while in office or thereafter, by reason of his being or having been such a Director or officer (or in any capacity with respect to any employee benefit plan), except with respect to any matter as to which be shall have been adjudicated in any proceeding not to have acted in good faith in the reasonable belief that his action was in the best interests of the corporation (or, to the extent that such matter relates to service with respect to an employee benefit plan, in the best interest of the participants or beneficiaries of such employee benefit plan); provided, however, that as to any matter disposed of by a compromise payment by such person, pursuant to a consent decree or otherwise, no indemnification either for said payment or for any other expenses shall be provided unless such compromise and indemnification therefor shall be approved:

(i) by a majority vote of a quorum consisting of disinterested Directors;

(ii) if such a quorum cannot be obtained, then by a majority vote of a committee of the Board of Directors consisting of all the disinterested Directors;

(iii) if there are not two or more disinterested Directors in office, then by a majority of the Directors then in office, provided they have obtained a written finding by special independent legal counsel appointed by a majority of the Directors to the effect that, based upon a reasonable investigation of the relevant facts as described in such opinion, the person to be indemnified appears to have acted in good faith in the reasonable belief that his action was in the best interests of the corporation (or. to the extent that such matter relates to service with respect to an employee benefit plan, in the best interests of the participants or beneficiaries of such employee benefit plan); or

(iv) by a court of competent jurisdiction.

If authorized in the ~er specified above for compromise payments, expenses including counsel fees, reasonably incurred by any such person in connection with the defense or disposition of any such action, suit or other proceeding may be paid from time to time by the corporation in advance of the final disposition thereof upon receipt of (a) an affidavit of such individual of his good faith belief that he bas met the standard of conduct necessary for indemnification under this Article, and (b) an undertaking by such individual to repay the amounts so paid to the corporation if it is ultimately detennined that indemnification for such expenses is not authorized by law or under this Article, which undertaking may be accepted without reference to the financial ability of such person to make repayment.

If both the corporation and any person to be indemnified are parties to an action, suit or proceeding (other than an action or suit by or in the right of the corporation to procure a judgment in its favor), counsel representing the corporation therein may also represent such indemnified person (unless such dual representation would involve such counsel in a conflict of interest in violation of applicable principles of professional ethics), and the corporation shall pay all fees and expenses of such counsel incurred during the period of dual representation other than those, if any, as would not have been incurred if counsel were representing only the corporation; and any allocation made in good faith by such counsel of fees and disbursements payable under

-7-

this paragraph by the corporation versus fees and disbursements payable by any such indemnified person shall be final and binding upon the corporation and such indemnified person.

The right of indemnification hereby provided shall not be exclusive of or affect any other rights to which any such indemnified person may be entitled. Nothing contained in this Article shall affect any rights to indemnification to which corporate personnel other than the persons designated in this Article may be entitled by contract, by vote of the Board of Directors, or otherwise under law.

As used in this Article the tenns "person," "Director," 11 officer, employee," and "agent" include their respective heirs, executors and administrators, and an "interested" Director or officer is one against whom in such capacity the proceedings in question or other proceedings on the same or similar grounds is then pending.

If any term or provision of this Article, or the application thereof to any person or circumstances, shall to any extent be held invalid or unenforceable, the remainder of this Article, or the application of such term or provision to persons or circumstances other than those as to which it is held invalid or unenforceable, shall not be affected thereby, and each term and provision of this Article shall be held valid and be enforced to the fullest extent permitted by law.

ARTICLEX Amendments

The Directors may make, amend, or repeal these By-Laws, in whole or in part.

I hearby attest that the foregoing represents the "by-laws" of the Cardiac Arrhythmia Syndromes

Foundation and that such "by-laws" were duly adopted by the Board of Director on July 22, 2008.

B

1807820.1

- 8 -

Cardiac Al'Thythmia Syndromes Foundation, Inc. Application _2_ of_3 __ Applicant Non-Profit Corporation ..::o-ka .... ·_:C:..:.A.:.=S;....;;F..::o.::;;un.:.=d;;;;ot;.;..:io;.;.;;n ________ _

SECTION C. NON-PROFIT COMPLIANCE

Answer each of the questions below to explain how the Corporation will remain in compliance with the nonprofit requirements of Ch. 369 of the Acts of2012, the regulations at 105 CMR 725.000, and "Guidance for Registered Marijuana Dispensaries Regarding Non-Profit Compliance." Please refer to the "Guidance for Registered Marijuana Dispensaries Regarding Non-Profit Compliance" document in completing this form.

11. Please identify any management company that the applicant intends to utilize and summarize the terms of any agreement or contract, executed or proposed, with the management company.

None

CAS Foundation will not engage the services of a management company.

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

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


Application _2_ of_3 __ . . Cardiac Arrhythmia Syndromes Foundation, Inc.

A pp Ii cant Non-Profit Corporation ....,o""kn""'-:..Jc'-"-A .,.s-"E...,•"w.!Dwd.watc.u.iawn'----------

12. Please identify any agreements or contracts, executed or proposed, in which the applicant will engage in a Related Party Transaction and summarize the terms of each such agreement.

None

CAS Foundation has no agreements or contracts, executed or proposed, in which CAS will engage in a Related Party Transaction.

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

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


Application _2_ of _3 __ • • C11rdi11c Arrhythmin Syndromes Foundntion, Inc.

Applicant Non-Profit Corporation _..a..,.ka.._-'""'c.,.A..,.S......_Fo..,1 .... m ... d,..nt...,jo..,n ________ _

13. Please identify whether any members of the Board of Directors are also serving as employees of the proposed RMD and, if so, their title and role with the proposed RMD.

EO ofCAS Foundation's Board of Directors will be the "President" ofRMD and Cultivation

FO ofCAS Foundation's Board of Directors will be the "Executive Director" ofRMD and Cultivation opcrat10ns.

Information on this page has been reviewed by the applicant, and where provided by the applicant, is accurate and complete, as indicated by the initials of the authorized signatory her-


Application _2_ of_3 __ . . Cardine Arrhythmia Syndromes Foundation, Inc.

Appltcant Non-Profit Corporation ..,a""'ko.._-"'c ........ AS ............ F ... rn ... m ... d..,at...,ja ... n ________ _

14. Please identify whether any members of the Board of Directors are serving as officials, executives, corporate members or board members for any management company, investor or other third party proposed to contract or otherwise conduct business with the proposed RMD.

None

No members of the CAS Foundation's Board of Directors arc serving as officials, executives, corporate members or board members for any management company, investor or other third party proposed to contract or otherwise conduct business with the proposed RMD.

Information on this page has been reviewed by the appli'iiiWnd where provided by the applicant, is accurate and complete, as indicated by the initials of the authorized signatory here:-



Cardine Arrhythmia Syndromes Foundation, Inc. Applicant Non-Profit Corporation ....;;a.;..;;kn;;...·....;C;;.;.A""'S;;..;F;....;;ou=ndn=tio.::;.;n.:...-_______ _

15. Please identify any contract or agreement, executed or proposed, under which a percentage or portion of the applicant's revenue will be distributed to a third party and summarize the tenns of any such agreement or contract.

None

CAS Foundation has not entered into any contract or agreement, executed or proposed, under which a percentage or portion of the applicant's revenue will be distributed to a third party.

The applicant agrees and attests that it will operate in compliance with all applicable state laws and regulations, including, but not limited to, laws regarding child support and taxation, as well as the "Guidance for Registered Marijuana Dispensaries Regarding Non-Profit Compliance."

09/09/2015

Date Signed

CEO, President

Print Name of Authorized Signatory Title of Authorized Signatory

Information on this page has been reviewed by the applic. and where provided by the applicant, is accurate and complete, as indicated by the initials of the authorized signatory here:



Employment-and-Education-Form Required List

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.

CEO

coo

CFO

Cultivation

Security

1

2

3

Richard Bonanno, Ph.D. 4

s

Application # 2 of 3 (1)

Cardiac Arrhythmia Syndromes Foun<fation, Inc. 11ka - CAS Foundation

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

SECTION D. EMPLOYMENT AND EDUCATION FORM

This Employment and Education fonn 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 Departmenl of Public Health.

Name

Title (at applicant non-profit corporation)

I CEO and President

Name or Applicant Non-Profit Corporation

Cardiac Arrhythmia Syndromes Foundation, Jnc. aka - CAS Foundation

Highest Education Attained- Institution, Degree, and Year

One ( 1) Y car, Post High School - KA THERINE GIBBS - CER TI Fl CA TE PROFESSIONAL ADMINISTRATOR 1975/1976

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

Cardiac Arrhythmia Syndromes Foundation, Inc. aka - CAS Foundation

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.

Emolover Title Time Period

TIIE CAS FOUNDATION FOUNDER & CEO 2008 to PRESENT

CONTINENT AL AIR CONDITIONING CO-OWNER & OPERA TOR I981tol995 & REFRIGERATION CO.

ADVANCED SAFETY SYSTEMS EXECUTIVE ASSISTANT TO THE 1979 to 1981 PRESIDENT

T.K. DYER ENGINEERING EXEClITIVE ASSIST ANT TO THE 1977 to 1979 PRESIDENT

PEERLESS PRESSED METAL OFFICE ADMINISTRATOR 1976 to 1977

I agree and attest that all information included in this form is complete

'[ --(-IS-Date Signed

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

Application # 2 or 3 Cardiac Arrhythmia Syndromes Foundation, Inc. akn - CAS Foundation



This Employment and Education fonn 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


coo

Name of Applicant Non-Profit Corporation

Cardiac Arrhythmia Syndromes Foundation, Inc. aka • CAS Foundation

Highest Education Attained - Institution, Degree, and Year

Doctorate Massachusetts School of Law at Andover, Andover, MA Juris Doctorate Class of2015

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

(2)

Cardiac Arrhythmia Syndromes Foundation, Inc. aka • CAS Foundation


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

A YID TECHNOLOGY Account Development Representative 812012- 8/2014

HUMAN CHANNEL MARKETING Sales Manager 212012- 8/2012

ZWICKER & ASSOCIATES, PC Case Manager 2009 - 2011

HEARTSCREEN AMERICA, INC. CEO & President 2005-2009

CARDIAC ARRHYTHMIA coo 2008 to Present SYNDROMES FOUNDATION

nd attest that all infonnation included in this form is complete

q _ 9- 1.s-Date Signed


Application# 2 of 3 (3) Cnrdiac Arrhythmia Syndromes Foundation. Inc.

Applicant Non-Profit Corporation _a_ka_-_c_A_s_Fo_t_in_d:_•c_io_n _______ _


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 Ofticer, individual/entity responsible for marijuana for medical use cultivation operations. and individual/cntity responsibk for the RMD security plan and security operations. Submit one Employment and Education form for each of the above individuals when submitting a A1anagement and Operatiou.\· Prt?file to the Department of Public Mealth.

Name

RcsicJcnti:ll Add rcss


I Chief Financial Officer

Name of Applic:rnt Non-Profit Corporation

Cardiac Arrhythmia Syndromes Foundation. Inc. aka - CAS Foundation

Highest Education Attained - Institution, Degree, and Yc:tr

Bentley Collcgc.\Valthmn. MA. Bachelor of Science in Accounting 1978

Munu!;cmcnl and Operations Profile - Employment and E<ltu:ation Form - Pa~c I


Applicant Non-Profit Corporation _a_ka_-c_A_s_F_ou_n_d_ai_io_n _______ _

Past 10 Years of Employment by Employer, Tille lllld Time Period. List chronologic~1tty, beginning with most recent employment. Add more forms if sp:icc is needed for mlditio1ml employment history entries.

Title Time Period

Finuncial Advisor September 1997 to present

Cardiac Arrhythmia Syndromes Foundation Chief Financial Officer January 2008 to present

Firs! American Title Escrow closing Dcp;irtment ~fay 200 I to present

Saguaro Grille 0\\ 11cr September 2007 to Aug 2011

Signt:d under the pains and penalties of perjury, I agree and attest that all in format ion included in this form is complete

·1 \ 1-I } t.o \ _(' Date Signed

Managcn11:nt and Op~rations Profile - Employment and Education Form - Page 2


Cardiac Arrhythmia Syndromes foundation, Inc. Applicant Non-Profit Corporation _o_kn_-_c_A_S_F_ou_n_da_t_io_n _______ _


This Employment and Education fonn 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 fonn for each of the above individuals when submitting a Managemenl and Opera/ions Profile to the Department of Public Health.

Name

l A. Richard Bonanno, Ph.D.

Residential Address


l Director of Cultivation

Name of Applicant Non-Profit Corporation

Cardiac Arrhythmia Syndromes Foundation, Inc. aka - CAS Foundation

Highest Education Attained - Institution, Degree, and Year

Oregon State University - Ph.D (Pinnt Physiology) - 1983


(4)


Applicant Non-Profit Corporation _a_b._-_c_A_s_F_ou_nda_tio_n _______ _

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.

Em plover Title Time Period

Plca.c;ant Valley Gardens Owner July 2000 to Present 255 Merrimack Street Methuen, MA 01844

University of Massachusetts UMASS Extension Specialist July 1989 to Present Amherst.MA 500/o Appoinbnent

.

Signed under the pains and penalties of perjury, I agree and attest that all information included in this form is complete

andacc~~ - / !f3~ .,/:uj:zois -~ Signature of the Individual Date Signed


Applicant Non-Profit Corporation


cardiac Arrhythmia Syndromes roundation. loc. aka - CAS Foundation

~~~~~~~~~~~~~~

Application # 2 of 3 (5)

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 lvf(magf!ment qnd Operations Profile to the Department of Public Health.

Name

Residential Addre!l!l

Title (at av.,licant non-profit corporation)

I Director Of Security

N .. me of Applicant Non-Profit Corporation

Cai:cliac Aqhythmi.i Syndromes Foundation, Inc. aka - CAS Foundation

Highest Education Attained- Institution, Degree, and Year

Salem State College Jr High Social Studies Criminal Justice

Management and Operations Profile - Employment and Education Fonn - Page 1

Cardiac Arrhythmia Syndromes Foundation, Inc. ulai - CAS Foundation

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

Past 10 Years of Employment by Employer, Title and Time Period. List chronologically, beginning with most recent empioyment. Add more forms ii space is needed ior additionai empioyment history entries.

Em plover Tide Time Period Town or Andover Police Officer 1981-2007 Andover MA Safely Orficer 1990-2007

Commonwealth of Massachusetts Marine Unit Commander 2007-2009 Middlesex County

Commonwealth of Massachusetts Deputy Chief of Security 2009-2014 Middlesex County

City of Newburyport City Councillor 20 IO-present Newburyport MA Public Safety Chair

North East Watercraft Accident Lead Investigator 200 I -present Reconstruction Specialists Founder

attest that all information included in this form is complete

Date Signed


Application _2_ of_3 __ Cardine Arrhythmia Syndromes Foundation, Inc.

Applicant Non·Profit Corporation ""'n~kn""--C..,.A'"'"S--..F .... ou..,,n=dn=u--·o ..... n ________ _

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 undcd the CAS Foundation in 2008 (8 years)

COO has served as the "Chief Operating Officer" ofthc CAS Foundation since the inception of the CAS Foundation in 2008 (8 years).

CF~s served as the "Chief Financial Officer" of the CAS Foundation since the inception of the CAS Fou~~ years).

Togethe 00, and~FO created;

- A foundation dedicated to the prevention of Sudden Cardiac Arrest caused by Cardiac Arrhythmias and other detectable Cardiac Abnonnalities of the adolescent athlete and young American population.

-A foundation dedicated to educating and advocating the benefits of Preventive Heart Screening that includes an Electrocardiogram.

- A foundation dedicated to infonning those "not yet fully infonned" that the benefits of Proactive Prevention (heart screening) in conjunction with Reactive Preparedness (AEDs & CPR) will save the most lives possible.

Our Mission - lo prevent Sudden Cardiac Arrest of the adolescent athlete and young American population through education and heart screening that includes an "electrocardiogram" and other humanitarian endeavors of community and societal value.

Our Values - CAS Foundation achieves its mission by providing services that demonstrate, on a daily basis, our corporate ethics and individual integrity, unique expert knowledge, creativity, flexibility, initiative, organization and professionalism. Our staff cares about the quality and outcome of our work and engenders a can-do spirit, energy and fun-loving approach to hard work.

The foundation's "Crowning Jewel" was our collaboration with All Children's Hospital of St. Petersburg Florida, Holtz Children's Hospital of Miami and the Hillsborough County School District, the 8th largest school district in America.

This collaboration was known as the "SafcBeal Initiative". The "SafcBeat Initiative" brought preventive heart screening to thousands of students on a voluntary, opt-in basis. The students were drawn from the classroom during the school day at numerous individual locations over the course of the school year.

The "SafeBeal Initiative" has documented evidence that it has, in fact, saved lives.

lnfonnation on this page has been reviewed by the appli~d where provided by the applicant, is accurate and complete, as indicated by the initials of the authorized signatory here:--

Management and Operations Profile - Page I 0

Application _2_ of_3 __ . . Cardiac Arrhythmia Syndromes Foundation, Inc.

Applicant Non-Profit Corporation ....,a.,.,kn.....::...-._c..,A...,s .... E_..a .... nn..,d...,nwti,..an..._ ________ _

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.

CEO,- founded the CAS Foundation in 2008 (8 years)

COO, ----has served as the "Chief Operating Officer" of the CAS Foundation since the inccpti~008 (8 years).

CFO, as served as the "Chief Financial Officer" of the CAS Foundation since the inception of the CAS Foundation in 2008 (8 years).

Together EO, 00,an FO created;

A heart screening model designed to be cost effective and scalable. Its operations arc managed from a single administrative hub in Andover, Massachusetts. Satellite operations arc mobile as arc CAS's heart screening learns, which consist of a Team Leader/Intake Specialist and four or more ECG Technicians. Consumer registrations and payments arc taken on-line or over the phone prior to scheduled screenings, and individual screenings typically take 12 minutes or less to complete. CAS's screening model is unique in that it first targets middle and high school student athletes, now seen as an undeMcrved market. The Company's ECG screenings arc effective in detecting heart abnormalities as well as affordable. For low income populations, CAS will partner with foundations, businesses and other organizations to underwrite the cost of screenings and follow-up.

The CAS Foundation uses state-of-the-art technology and an enterprise software system to manage all clements of its operations. The interpretive ECG devices arc commercially available and integrate into the enterprise system seamlessly. The CAS team arrives at the screening location and sets up the Mobile Screening Center, which is completely removed from the location at day's end and set up again the following morning. CAS requires only ready access to electricity for operating its equipment.

Prior to the screening, the client's data is populated to the secure server at the screening location. On screening day, the client arrives at the appointed time and is processed through CAS intake. The client is asked to arrive 10 minutes before the appointment and the entire procedure takes 12 minutes.

ECG technicians conduct the ECG screening, take blood pressure reading, and cholesterol/glucose screening, when applicable. State-of-the-art devices electronically interpret the ECG screening results, if the screening reveals an imminent risk or emergency, the client is advised accordingly and steps arc taken to ensure his/her safety.

The ECGs arc over-read by an independent board-certified cardiologist or pediatric cardiologist, CAS sends the final screening results to the client within ten (I 0) business days, and the client receives a written report of the ECG results and a copy of the tracing to share with his/her primary care physician.

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

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


Application _2_ of_3 __ . . Cnrdiac Arrhythmia Syndromes Foundation, Inc. Applicant Non-Profit Corporation .... 2 .... b...._.c.__A s ....... F ... 01 .... m ... d ... 2 1 ... ;n ... "---------

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.

None

The CAS Foundation's Chief Executive Officer, Chief Operations Officer, and Chief Financial Officer have no prior experience in providing services for marijuana for medical purposes.

Information on this page has been reviewed by the appli-..Ud where provided by the applicant, is accurate and complete, as indicated by the initials of the authorized signatory here--


Application l__ of _3 __ . • Cardiac Arrhythmia Syndromes Foundation, Inc.

Applicant Non-Profit Corporation _..n ... kn.._.'-c ..... A,..S...,E..,o,..un...,iln-..lin ... n.._ ________ _

20. Describe the experience, and length of experience, of the Corporation's individual/entity responsible for marijuana for medical use cultivation operations and individual/entity responsible for the RMD security plan and security operations with providing services for marijuana for medical purposes.

CULTIVATION

Or. Richard Bonanno, Director of Cultivation

Richard Bonanno, Ph.D. is an experienced scientist, grower, and business owner. Or. Bonanno is well educated with a B.S. in Agronomy from Cornell University, a M.S. in Weed Science from Cornell University, and a Ph.Din Plant Physiology from Oregon State University. He has served on the faculties of both North Carolina State University and the University of Massachusetts.

Dr. Bonanno is the owner and operator of Pleasant Valley Gardens in Methuen, MA. He has over 3 decades of growing experience and is an expert in crop culture, pest management, nutrient management, and food safety. Pleasant Valley Gardens produces 40 acres ( l. 7 million sq fi) of fresh market vegetables, 35,000 sq fi of indoor greenhouse vegetable plants and bedding plants, and over 260,000 sq ft of outdoor·grown hardy mums. Products from Pleasant Valley Gardens can be found at numerous supermarkets, institutional food distributors, farmers markets, and farm stands throughout the Commonwealth.

Dr. Bonanno has also served on the Massachusetts Pesticide Board for 24 years and has broad knowledge of local, state, and federal legislation and regulations as they pertain to the growing of crops. He is also the President of the Massachusetts Farm Bureau Federation, the largest ugricultural organization in the state. Dr. Bonanno' s agricultural experience and extensive scientific knowledge will be invaluable to our cultivation operation.

Dr. Bonanno will guide and direct a group of seasoned marijuana growers from Montana.

SECURITY

irector of Security

ill implement and oversee our buildings and transportation security.

as over 30 years in corrections and local law enforcement .• served as the Assistant Deputy upenntendent for the Middlesex County Sherifrs Office, Department o orrections (8 years) and prior to that was an

Andover Police Officer for 26 years.

e career, he was charged with overseeing an investigative unit tasked with detecting and prosecuting contr nee violations.

- xperience in corrections has provided him with firsthand knowledge of not only drug interdiction but also vanous methods of ensuring safety and security in facilities & transport settings.

experience in corrections will present a layered approach to our facility/ transport security, while his police expenencc provides a community perspective.

s a strong believer in Crime Prevention Through Environmental Design (CPTED) as one tool to detour and discourage crime.

ill be invaluable to us as an expert in law enforcement, security, and community interfacing.

s currently serving a 3rd term on the Newburyport City Council and has no prior experience with providing services for marijuana for medical purposes.

Information on this page has been reviewed by the appli~nd where provided by the applicant, is accurate and complete, as indicated by the initials of the authorized signatory here: ___


Application _2_ of_3 __ , . Cardiac Arrhythmia Syndromes Foundation, Inc.

Applicant Non-Profit Corporation _..D""'knu..::..-c.....,A .... s,..E_..o ... 11n..,d....,n .... 1i ... nn..._ ________ _

SECTION E. OPERATIONS

21. Provide a summary of the RMD's operating procedures for the cultivation of marijuana for medical use.

We will predominantly grow hydroponically, using the recirculating deep-water culture system. Our Plant Manager has set up numerous systems using this method. By recirculating hundreds of gallons of nutrients around the clock, we will optimize root-zone health and increase nutrient-uptake efficiency. This enhanced version of deep-water culturing maintains uniformity throughout the entire system, ensuring proper pH and EC levels for all plants. The perpetual fluid motion supercharges the nutrient solution with dissolved oxygen, creating a hyper-aerobic condition upon which plants and their roots thrive, resulting in larger yields and faster growth. Automated watering, lighting, environmental controls, and plant growth information arc all tracked with MJ Freeway software. These automations, coupled with employees closely following growing protocols will result in safe and consistent marijuana for patients.

One of the many reasons to embrace hydroponics is that it largely eliminates the introduction of microbes pests carried in from soil. It is much easier to maintain a sterile environment with hydroponics, while still allowing for an organic, environmentally friendly growing program. We have created an integrated pest and disease management plan in the event of an outbreak, and believe smaller rooms allow for more control of environment and quarantine in the unlikely event of an outbreak. Our software will allow us to track batches and quarantine and destroy contaminated plants and medicine. Sterilization will be part of our protocol, and all CC staff will wear Tyvek suits, booties, and rubber gloves.

We will grow in Coco Coir and use water soluble organic nutrients. We will start with 15 different strains (indica, sativa, and hybrids) and a wide variety of plant genetics, with differing THC/CBD percentages. We will increase strains over time based upon patient needs.

We will use HPS lights in conjunction with Light Emitting Plasma (LEP). LEP has many advantages; it uses one-third of the electricity for comparable output, lasting S times longer per bulb; it emits no heat radiation; there is no electromagnetic interference with proper configuration; and, most importantly, the light output most closely resembles the sun in terms of UV spectrum coverage as measured by photons (lumens).

Use of HEPA air fillers and C02 in smaller grow rooms helps maximize lbs per light and increases our volumetric efficiency. Our team understands cultivation concepts, how to apply them, and the products and organic nutrients that will best accomplish the job, all in the healthiest and most environmentally friendly fashion. Lastly, all staff involved in cultivation will be enrolled in onlinc classes by Univ. of Cannabis as well as classes by locally owned and operated GYOstuff Hydroponics in Cambridge, Massachusetts.

Our focility, coupled with our experience, ensures that patients will quickly and consistently have safe, quality medicine available.

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



Cardiac Arrhythmia Syndromes Foundation, Inc. Application _2_ of_3 __ Applicant Non-Profit Corporation _o_ko_-_C_A_S_F_ou_n_do_1_io_n ________ _

22. Describe the types and forms of Marijuana Infused Products ("MIPs") that the RMD intends to produce, if any.

Our experienced culinary staff will use the latest and safest methods to infuse medicine into delicious, health-conscious foods.

CANDY; Lollipops, Gummy Bears (hard and soft), Mints, Chocolate Bars, Gums, Gum Drops, etc.

BAKE GOODS; Cookies, Brownies, Cakes, Cup Cakes, Cake Pops, etc.

SODA I ICE TEAS

SNACKS; (various flavors, featured flavor of the month) Popcorn, Pretzels, Chips, Com Puffs, clc.

We will also offer sublingual administrJblc TINCTURES, OILS, and WAXES, in addition to BUTTERS, TOPICAL CREAMS and HONEY.

Together these delivery methods will provide a safe, fast and/or delayed-over-time, acting alternative to vaporizing.

All prepared foods will contain wholesome ingredients.

We will package our MIPs with an eye loward eliminating any resemblance lo typical food or beverage products.

We will follow Department of Health standards and guidelines for Wholesale Food Labeling, as well as all Commonwealth of MA statutory requirements, including Good Manufacturing Practices for Food and the certification requirements for food handlers.

Information on this page has been reviewed by the applican and where provided by the applicant, is accurate and complete, as indicated by the initials of the authorized signatory here:


Cardiac Arrhythmia Syndromes Foundation, Inc. Application _2_ of_3 __ Applicant Non-Profit Corporation _n_ka_-C_A_S_F_ou_n_da_t_io_n ________ _

23. Provide a summary of the RMD's methods of producing MIPs, if the RMD intends to produce MIPs.

Methods of Production

The production ofMIPs combines culinary arts with science. Our safety-conscious processing, cooking, and packaging techniques will ensure that our patients have a healthy alternative to smoking. Part of our mission is to help patients develop healthier life habits, and our MIPs offerings arc an ideal way to achieve this.

We will use the bubble-bag method, which requires no chemicals or alcohol, to produce hash oil. By using dry ice and bags with increasingly finer mesh (monofilament screens), one can easily extract the essence of the plant, expending less water and resources. The bubble-bag method offers eight layers of industrial grade filtration, which will allow extraction of the essential oils from almost any plant.

Our products will be made on stainless steel surfaces in a commercial grade kitchen and laboratory grade facility, meeting all state and local requirements for commercial kitchens and labs.

Our Director of Culinary Services is graduate of Atlantic Culinary Academy. She has an Associate's Degree in Culinary Science, and a Culinary Certificate from the Le Cordon Blcu Program.

Since college she has earned her Scrv-Safe Training and Certificate. She is also Allergen Certified, and Choke-Saver Certified.

With seven years of experience in MIPS production, she has perfected over 75 recipes to deliver medicine to patients that arc both safe and delicious.




Application _2_ of_3 __ Cnrdiac Arrhythmin Syndromes Foundation, Inc.

Applicant Non-Profit Corporation _n_kn_-C_A_S_F_ou_n_dn_1_io_n ________ _

24. Provide a summary of the RMD's operating procedures for the provision for security at the RMD.

Information on this page has been reviewed by the appli~nd where provided by the applicant, is accurate and complete, as indicated by the initials of the authorized signatory here: --


Application _2_ of_3 __ Cardiac Arrhythmia Syndromes Foundation, Inc.

Applicant Non-Profit Corporation -=a=kn=---C'""A;.;.:;.S.;..F""ou ... n;.;::da..,,t ... io""n'----------

25. Provide a summary of the RMD's operating procedures for the prevention of the diversion of marijuana.

lnfonnation on this page has been reviewed by the applicant, and where provided by the applicant, is accurate and complete, as indicated by the initials ofthe authorized signatory here~


Application _2_ of_J __ Cardiac Arrhythmia Syndromes Foundation, Inc.

Applicant Non-Profit Corporation ..:a::.;ka=---C=A;..;;.::;.S.;.F.;;;ou:;:.n:::da=t~io:..::n~--------

26. Provide a summary of the RMD's operating procedures for the storage of marijuana for medical use.

Information on this page has been reviewed by the appl- where provided by the applicant, is accurate and complete, as indicated by the initials of the authorized signatory here

Management and Operations Profile - Page I 9

Application _2_ of_3 __ Cardiac Arrhythmia Syndromes Foundation, Inc.

Applicant Non-Profit Corporation -=a::.:;ka=--....;C:.;A;...:;S::....:...Fo;;.:u::.:;n:.::;da;;.:t::.:io;:.:n ________ _

27. Provide a summary of the RM D's operating procedures for the transportation of marijuana for medical use.

Information on this page has been reviewed by the app... here provided by the applicant, is accurate and complete, as indicated by the initials of the authorized signatory her


Cardioc Arrhythmio Syndromes Foundation, Inc. Application _2_ of _3 __ Applicant Non-Profit Corporation ...:11;.;.;;k;;;..11 _w C..::..:....:A:::.S..:.F..::.ou:::n.:..::d:::.11t:::.;io:..:;n:...-_______ _

28. Provide a summary of the RMD's operating procedures for inventory management.

(nformation on this page has been reviewed by the applicant, and where provided by the applicant, is accurate and complete, as indicated by the initials of the authorized signatory here: __ __


Cardiac Arrhythmia Syndromes Foundation, Inc. Application _2_ of_J __ Applicant Non-Profit Corporation _n_kn_-_c_A_S_Fo_u_n_da_t_io_n ________ _

29. Provide a summary of the RMD's operating procedures for quality control and testing of product for potential contaminants.

Testing: Verifying Our Quality Standards

We will contract with a Department approved analytical testing laboratory or an analytical testing laboratory meeting Department approved standards for the testing of marijuana. The contractor must provide the full range of testing services, including:

•Microbiological testing (mold, mildew) with qPCR (quantitative polymerase chain reaction) for genomic testing. This testing can detect the presence of even a single organism;

• Heavy metals testing using atomic absorption spectroscopy (AAS), capable of detecting metals in the parts per billion (ppb) concentration range;

• Pesticides testing using liquid chromatography - tandem mass spectroscopy (LC - MS/MS), detecting hundreds of pesticides beyond the ppb range, as advised by agricultural industry experts;

• Plant growth regulators testing using high-performance liquid chromatograph (HPLC), detecting paclobutrazol, daminozide, and other dangerous PGRs; and

• Cannabinoid profiling: using HPLC, we will go beyond the requirements and quantify THC, THCa, CBD, CBDa, and CBN.

Our MJ Freeway software allows our RMD to record and attach lest results to each batch of medication within the system. Since MJ Freeway easily tracks who is to receive any part of a given batch, labeling is a reliable way to assure patients of the consistent purity and potency of their medication.

The analytical testing laboratory will comply with all DPH regulations set forth now and in the future.

Information on this page has been reviewed by the appli- where provided by the applicant, is accurate and complete, as indicated by the initials of the authorized signatory here


Cardiac Arrhythmia Syndromes Foundation, Inc. Application _z_ of_3 __ Applicant Non-Profit Corporation _a_ka_-C_A_S_F_o_un_d_a_ti_on _________ _

30. Provide a summary of the RMD's operating procedures for maintaining confidentiality ofregistered qualifying patients, personal caregivers, and dispensary agents, as required by law.

CAS operating procedures for maintaining confidentiality.

Identity and Access Management;

[n order lo comply with HIPAA guidelines, CAS will utilize membership software that complies with HIPAA guidelines. Information stored in the database will be password protected and accessible only by those who have a legitimate business need and have been trained on professional conduct, ethics and slate and federal laws regarding patient confidentiality. The Member Services Manager will be responsible for determining access to protected health information.

System and Environment Configuration;

Patient, Caregiver and Dispensary Agent information will be stored and processed on encrypted, secure systems that arc strictly controlled and regularly backed up.

Monitoring:

All access to protected information will be monitored regularly. A record will be kept of all logins and records created or edited during that login time.

Information Flow Control and Encryption:

Protected information will only be moved to safe locations when authorized and will be encrypted in storage and while transmitted on unprotected networks.

Any protected information not in electronic form will be stored in a locked facility with access limited to management as determined by the Member Services Manager. In addition lo the rules and regulations regarding access and security of protected information, all applicable individuals will be provided documentation that informs them of their rights to privacy.

Information on this page has been reviewed by the appli~nd where provided by the applicant, is accurate and complete, as indicated by the initials of the authorized signatory here--


Cardine Arrhythmia Syndromes Foundation, Inc. Application _2_ of_3 __ Applicant Non-Profit Corporation _a_k11_-_c_A_S_Fo_u_n_dn_t_io_n ________ _

31. Provide a summary of the RMD's personnel policies.

CAS has adopted personnel policies to guide recruitment, hiring, tmining and managing its employees. Clearly defined and reinforced personnel policies will contribute to a consistently safe, patient-focused work environment, staffed by a competent team. Adherence to proper safety protocols and adequate oversight of infonnation will be the foundation of all our personnel policies. CAS is dedicated to competitive pay structures, opportunities for advancement, and merit-based bonuses, and will provide employees with a highly competitive benefits package.

Highlights:

• Precise definition of responsibilities • Clearly understood chains of authority •Well paid, well qualified, well trained personnel • High patient/staff ratio • Professional recruiting practices • Thorough training of new hires

Employee Handbook:

A comprehensive handbook provides infonnation to guide employees' behavior and relationship with CAS

Training:

A comprehensive training program with a concentrated focus on legal, medical, patient care, sales and safety issues.

Equal Employment Policy:

CAS practices equal-opportunity employment and advancement

Compensation:

A competitive "living wage", pay range has been established for all job classifications.

Benefits:

A comprehensive program including health, dental, vision, life, vacation, sick, maternity and personal time, disability, retirement, educational reimbursement, Sec. 125 Plan, prepaid legal and more.

Workers Compensation:

As required

Information on this page has been reviewed by the app- where provided by the applicant, is accurate and complete, as indicated by the initials ofthe authorized signatory her


Cnrdiac Arrhythmia Syndromes Foundation, Inc. Application _2_ of _3 __ Applicant Non-Profit Corporation ...;;n;;.;;k;;;..n _. C.;:;.:..:A::;.S..:..F""ou:::n:.::d;;;..at""io;.;;n'-----------

32. Provide a summary of the RMD's operating procedures for dispensing of marijuana for medical use.

Information on this page has been reviewed by the appli~d where provided by the applicant, is accurate and complete, as indicated by the initials of the authorized signatory here: --


Cardiac Arrhythmia Syndromes Foundation, Inc. Application _2_ of_3 __ Applicant Non-Profit Corporation -"a,.,k.::.a_-_,.C"'"A""S""'F'"'o""u"'n,.,da .... t.,,.io""n _______ _

33. Provide a summary of the RMD's operating procedures for record keeping.

Stringent controls will be put in place by our MJ Freeway Point of Sale/Inventory tracking system, tools and forms for accounting and verification, and tasks and processes that will ensure accountability at every stage, such as verifying product identification and weight measurements in multiple departments (Cultivation, Inventory, Processing, Sales).

We can obtain and report the customer ID and patient information, all validated against the patient's DPH issued card and accepted ID. We track sales of medicated products to patients. Our record keeping system will be integrated throughout so that we can provide data feeds to the data points needed to meet regulatory compliance, accessing the Departments hosted system by web.

Our POS solution is integrated with QuickBooks. Couple all this information with the ability to monitor key performance indicators, and we truly have an end-to-end solution that will give us full access into every aspect of our business. We use technological solutions to meet business challenges.

Our system will track and lime-stamp plant assignments, movements, and changes in state; hatch dates of creation, yield weights, and created packages; nutrients used; test results; MIP ingredients; creation, movement, and sale of finished product; and employee system access. The system delineates inventory by location and stage of production process, and it stores the operation's gross inventory in sub-locations as appropriate.


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


Cardiac Arrhythmia Syndromes Foundation, Inc. Application _2_ of_3 __ Applicant Non-Profit Corporation _a_ka_-_C_A_S_F_ou_n_da_t_io_n ________ _

34. Provide a summary of the RMD's plans for providing patient education.

Education is a top priority. We will provide educational support on a one-to-one basis beginning with the first patient visiL Our Intake Specialist will take a detailed intake history in a private and comfortable space set aside for intake and educational purposes.

CAS will provide patients with printed as well as online information including scientific research related to the medicinal use of marijuana, how to promote an overall healthy lifestyle, the safest and most effective means of administering marijuana for medicinal use and booklets and materials on a number of conditions, medications, and side effects.

We will provide an onlinc monitored forum for patients to support each other via a secure login.

CAS will provide on line access and print booklets to a family of appropriate materials including; Research on Cannabis, History of Cannabis as Medicine, Comparison of Medications - Efficacy and Side-Effects, Chronic Pain and Medical Marijuana, Multiple Sclerosis and Medical Cannabis, Cancer and Medical Marijuana, HIV/AIDS and Medical Marijuana, ASA Newsletters, Talking to Your Doctor, Cannabis Safety, Guide lo Using Medical Cannabis, Recipes for Non-Inhalation Delivery Methods, and a How to Access Local Patient Support Groups.

We will also provide information and resource materials about substance abuse and marijuana addiction from national health organizations:

Website and booklets arc available in English, Spanish and Portuguese, with more languages to follow.

Information on this page has been reviewed by the applicant, and where provided by the applicant, is accurate and complete, as indicated by the initials of the authorized signatory here: II--


Cnrdinc Arrhythmio Syndromes Foundation, Inc. Application _2_ of_3 __ Applicant Non-Profit Corporation _n_kn_-C_A_S_F_ou_n_dn_t_io_n ________ _

35. Provide a summary of the RMD's operating procedures for patient or personal caregiver home-delivery, if the RMD plans to provide home-delivery services.

Information on this page has been reviewed by the appli~nd where provided by the applicant, is accurate and complete, as indicated by the initials of the authorized signatory here--


Cardiac Arrhythmia Syndromes Foundation, Inc. Application _2_ of_3 __ Applicant Non-Profit Corporation _a_kn_-_C_A_S_Fo_u_n_da_t_io_n ________ _

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

CAS offers discounts for seniors as well as individuals with low income or who arc terminally ill. The primary criteria for financial assistance will be compassion, identified need, and inability to pay.

Our program will provide medical marijuana, MIPs, and vaporizers to patients in need. Up to 1% of gross revenue will be made available in discounts.

Patients who arc terminal and living al or below the Federal poverty line will be supplied medicine at no charge. Patients who are terminally ill and living at up lo 200% above the poverty line will receive a 75% discount.

Terminally ill patients will receive a 50% discount.

Fees will rise from there based on situation and ability to pay. Patients DPH certified as having a financial hardship pay in accordance with their ability.

Individuals living at or below the Federal poverty line but not lerminally ill will receive a 50% discount. Individuals earning up to 200% above the Federal poverty line will receive a 25% discount.

Seniors receive a baseline I 0% discount. Seniors with a terminal illness receive a 60% discount regardless of income; but terminally ill seniors with income up to 200% above the Federal poverty level will receive an 85% discount, and terminally ill seniors living below the Federal poverty line will pay nothing.

Otherwise, seniors living al or below the Federal poverty line will receive a 75% discount, while those with income up to 200% above the Federal poverty line will receive a 50% discount.

Information on this page has been reviewed by the appliiliitr1d where provided by the applicant, is accurate and complete, as indicated by the initials of the authorized signatory her~


Cardiac Arrhythmia Syndromes Foundation, Inc. Application _2_ of_3 __ Applicant Non-Profit Corporation _nk_a_·_C_A_S_F_ou_n_d_a1_io_n ________ _

37. Provide a summary of the training(s) that the RMD intends to provide to Dispensary Agents.

Staff will be hired on a 3 month probationary status. They will participate in rigorous training, & be evaluated for suitability in a restricted-access medical environment. Training includes the employee handbook, reading materials, lectures by professionals, hands-on training & quizzes.

Legal- Training will cover all State & Federal laws relating to marijuana, & medical cannabis. Legal obligations of licensed cannabis dispensaries will be emphasized. Topics will include the rules & regulations, sexual harassment, interaction with law enforcement, & the rights & responsibilities of medical cannabis patients. Legal training wilt include at least one two-hour session with an attorney

Medical- Training will include disabled rights & sensitivity, how to identify & interact with a patient having a medical emergency, the proper uses & benefits ofmedienl cannabis

Sales- Staff will be trained in patient care-not retail sales. The focus will be on assisting patients in making appropriate decisions about how to choose the type of medicine which is right for them. Staff will be provided with ongoing training in product information as well as general service philosophy

Safety- In addition to its focus on safety, security training will include acceptable currency identification, warning signs of possible diversion to the illegal market, lock & alann procedures, perimeter & entrance control, robbery response techniques, conflict resolution techniques & diversion detection techniques

Information on this page has been reviewed by the appli~d where provided by the applicant, is accurate and complete, as indicated by the initials of the authorized signatory here:--


Canliac Arrhythmia Syndromes Foundation, Inc. Application _2_ of _3 __ Applicant Non-Profit Corporation _a_k11_-_c_A_S_Fo_u_n_c1a_1_io_n ________ _

38. Will the Corporation provide worker's compensation coverage to the RMD's Dispensary Agents?

Yes IZI No 0

39. Will the Corporation obtain professional and commercial insurance coverage?

Yes IZI No 0

40. Describe the Corporation's plan to obtain liability insurance or place in escrow the required amount to be expended for coverage of liabilities.

The CAS Foundation's "PLAN" to provide "liability insurance" is to continue to keep active the organization's ''PRESENT POLICY".

In the unlikely event that an issue arose with the ··present policy" CAS's insurance agent has assure them that he has approached other markets and has receive positive responses. To name just a few; CANNASURE, Munich Reinsurance America, MMD Insurance, Premier Southwest Insurance Group and Kaercher Insurance.

CAS is also prepared to place in escrow the required amount of$250,000.00 or more to be expended for coverage of liabilities in the unlikely event that nil of the above fail.

CAS FOUNDATION

"Business Owner's Insurance Policy"

Insurer: The Hartford (Sentinel Insurance Company, Limited) One Hartford Plaza, Hartford, CT 06155

Agency: Eastern Insurance Group LLC/PHS

Agent: Joseph Carroll, 781-596-8901 Ext. # 59074

Policy#:

Effective Oates: 8/26/15 lo 8/26/16

Policy Coverage: General Liability & Medical Expenses $1,000,000.00

Medical Expenses - Any One Person $10,000.00

Personal and Advertising Injury $1,000,000.00

Damage to Rented Premises $ l ,000,000.00

Aggregale Limits Products-Compleled Operations $2,000,000.00

General Aggregale $2,000.000.00

lnfonnation on this page has been reviewed by the applic~and where provided by the applicant, is accurate and complete, as indicated by the initials of the authorized signatory here: --



Cardiac Arrhythmia Syndromes Foundation, Inc. Applicant Non-Profit Corporation _a_ka_-_C_A_S_F_o_un_d_at_io_n ________ _

SECTION F. CAPITAL CONTRIBUTORS

List all persons and entities known to date that are committed to contributing 5% or more of initial capital to operate the proposed RMD. For entities contributing initial capital to operate the proposed RMD, list the entity's Chief Executive Officer/Executive Director and President/Chair of the Board of Directors.

Attach additional tables if needed.

Amount of Initial Capital Percentage of Initial Committed Ca ital Committed

Individual Name

rustee $ 400,000.00 20.25%

Ralph and Andrea Caruso $ 450,000.00 22.78%

May Chnn Hui $ 500,000.00 25.31%

Harriot Jacobs $ 300,000.00 15. 19%

Innocent Lugumamu $ 100,000.00 5.06%

100,000.00 5.06%

SUBTOTAL $1,850,000.00 93.67%

Information on this page has been reviewed by the app-· where provided by the applicant, is accurate and complete, as indicated by tJ1e initials of the authorized signatory her


Cardiac Arrhythmia Syndromes Foundation, Inc. . • 2 f 3 Appl1cat10n __ o __ Applicant Non-Profit Corporation _a_ka_-_C_A_S_F_o_u_nda_ti_on ________ _

Amount of Initial Percentage of Entity Name Leadership Names Capital Initial Capital

Committed Committed

C D Services of Entity CEO/ED:

America, LLC Kenneth P. De Melis, MANAGER*

$ 125,000.00 6.33%

Please sec below Entity President/Chair: J~ f*JH~ in red. Kenneth P. De Melis, MANAGER* -

Entity CEO/ED:

Entity President/Chair: $

Entity CEO/ED:


Entity CEO/ED:


Entity CEO/ED:


TOTAL $1,975,000.00 100%

• C D Services of AMERICA, LLC - Kenneth P. De Melis, MANAGER is a "new" lender to the CAS Foundation since we filed the

Applications of Intent. As such please find Mr. De Mclis's and C D Services of America, LLC "Character and Competency Forms" and "Background Check Form" (sent to CSI) for Mr. De Melis, also please find "Proof of Funds" committed by Mr. De Melis, Manager, on behalf ofC D Services of AMERICA, LLC. Mr. De Melis also signed above as to mirror Section D of Application oflntcnt.

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



2 3 Cardiac Arrhythmia Syndromes Foundation, Inc. Application __ of __ Applicant Non-Profit Corporation _ok_a_-_c_A_S_F_o_un_d_at_io_n ________ _

ATTESTATIONS

Signed under the pains and penalties of perjury, I, the authorized signatory of the non-profit applicant corporation, agree and attest that all infonnation included in this application is complete and accurate and that I have an ongoing obligation to submit updated infonnation to the Department if the information presented within this application has changed.

09/09/2015

Date Signed

Print Name of Authorized Signatory

CEO & President

Title of Authorized Signatory

I hereby attest that if the corporation is allowed to proceed to submit a Siting Profile, the corporation is prepared . . .... ,, .............. "

09/09/2015

Date Signed

Print Name of Authorized Signatory

CEO & President

Title of Authorized Signatory

Information on this page has been reviewed by the appl~d where provided by the applicant, is accurate and complete, as indicated by the initials of the aud10rized signatory here---


Documents

Cardiac Arrhythmia Syndromes Foundation, Inc - …...Cardiac Arrhythmia Syndromes Foundation, aka CAS Foundation The Commonwealth of Massachusetts Executive Office of Health and Human