The MAT Application will not be considered complete unless all of the items requested are enclosed. The MAT will not grant any waivers from submittal requirements, and the MAT Application shall neither be reviewed by, nor a meeting be scheduled with the MAT, unless the MAT Application is complete. Failure to provide such required documentation will be noted in the MAT Application file. Applicants are advised that documentation provided to the MAT may be subject to disclosure pursuant to M.G.L. c. 66, § 10, (the “Public Records Law”).
Please select which type of marijuana establishment for which you are seeking an HCA:
Attach true copies of all organic documents, e.g., Articles of Incorporation for a corporation or Certificate of Organization for a limited liability company; bylaws, and any amendments thereto; annual reports, SEC filings (if any), and all minutes from entity meetings for the past 12 months.
Has the applicant, its parent entity, or any other intermediary entity ever applied for licensure as an RMD Massachusetts Department of Public Health, marijuana establishment from the Commonwealth of the Commonwealth of Massachusetts Cannabis Control Commission (CCC), or applied for licensure to any similar licensing authority in any other jurisdiction, foreign or domestic, whether or not the license was ever issued?
Has the applicant, or its parent entity, or any other intermediary entity and/or any
business entity owned by the applicant ever held a license to operate an RMD or
marijuana establishment in any jurisdiction, foreign or domestic, that was subject to any of
the following actions:
Is the applicant, or its parent entity, or any other intermediary entity delinquent in the payment of any judgments, taxes, interest or penalties due to the Commonwealth, the Department of Revenue, relating to a Marijuana Establishment or RMD?
Has a complaint, judgment, consent decree, settlement or other disposition related to a violation of federal, state or similar foreign antitrust, trade or security law or regulation ever been filed or entered against the applicant, its parent entity, or any other intermediary entity?
Has the applicant, or its parent entity, or any other intermediary entity been a party to a lawsuit in the past 5 years, either as a plaintiff or defendant, complainant or respondent, or in any other fashion, in this or any other country?
Has the applicant, its parent entity, or any other intermediary entity filed a business tax return in the past two years?
Has the applicant, its parent entity, or any other intermediary entity completed financial statements, either audited or unaudited, in the past two years?
Has any interest or share in the applicant, its parent entity, or any other intermediary entity or the profits of the sale of marijuana been pledged or hypothecated as security for a debt or deposited as a security for the performance of an act or to secure the performance of a contract?
Attach a list detailing the operating and investment accounts for this business, including financial institution name, address, telephone number, and account number for each account.
Attach a list detailing each outstanding loan and financial obligation obtained for use in this business, including creditor name, address, phone number, loan number, loan amount, loan terms, date acquired, and date due.
Financial Statement Financial records or letter of financing demonstrating capitalization or investment to ensure the establishment’s solvency and successful operation.
Please provide a resume or curriculum vita with a brief biography of each of the following:
Please provide an operations plan for each of the following
Please provide information about existing Marijuana Establishments and/ RMDs locations within the Commonwealth that applicant, its parent entity, or any other intermediary entity operate, including business name, business address, internet website addresses, facility manager name and contact information, number of years in operation, any police reports filed, and copies of fully executed Host Community Agreements.
Please provide information about existing marijuana establishment /RMD locations within the United States that applicant, its parent entity, or any other intermediary entity operate, please attach as a separate document that lists the business name, business address, websites, and facility manager name and contact information, and number of years in operation
Security Plan – A statement that a Security Plan has been prepared for the applicant, or its parent entity, or any other intermediary entity from the preparer of the Security Plan (please do not attach the Security Plan)
Police Reports from the past five years for applicant, its parent entity, or any other intermediary entity.
Completed Criminal Offender Record Information (CORI) and associated fee has been submitted to the Framingham Police Department.
Marijuana establishments and RMDs shall provide the City of Framingham with a copy of the CORI findings submitted to the CCC. A link to the Commonwealth’s CORI application can be found at https://www.framinghamma.gov/752/Records-Bureau.
Licenses granted by the Commonwealth of Massachusetts Department of Public Health pursuant to 105 CMR 725.00 and/or by the Commonwealth of Massachusetts Cannabis Control Commission
Framingham Board of Health – Applicants are required to review the Board of Health’s Regulations to Ensure the Sanitary and Safe Operation of Adult-use Marijuana Establishments and the Sale of Adult-use Marijuana
Planning Board – Framingham Zoning By-Law/Ordinances (Sections I.E, II.5.D, II.6.A, II.6.C, VI.F.2., VI.G.1, and IX) and Framingham Zoning Map – Marijuana Establishment Overlay District
Demonstrated direct experience in the cannabis industry or a similar industry, e.g., existing DPH or CCC licensure
The Applicant shall meet with MAT prior to holding a Community Outreach Meeting. If a meeting has been scheduled please provide information about the proposed Community Outreach Meeting date and agenda, including information to be presented at such meeting pursuant to 935 CMR 500.101 (1)(a)(9).
Attach required documents.
If additional documents need to be sent after submitting this form, please email them to Planning.Board@FraminghamMA.gov
Upon oath I make representation under the penalties and pains of perjury as follows:
1. I am duly authorized to file this MAT Application;
2. the statements, attachments, and supporting schedules are true and correct to the best of my knowledge and belief;
3. this statement is executed with the knowledge that misrepresentation of, or failure to reveal, information requested will be reported to the Cannabis Control Commission (CCC);
4. I am aware that later discovery of an omission or misrepresentation made in connection with this MAT Application and/or the negotiation of an HCA with the City of Framingham may result in termination of negotiations for, or revocation of, any subsequently executed HCA;
5. The applicant is in full compliance with all laws of the Commonwealth relating to taxes, reporting of employees and contractors, and withholding and remitting child support;
6. The applicant is fully aware of the requirements of M.G.L. c. 268A, the Massachusetts Conflict of Interest Law, and has made such disclosures as may be required thereunder.