An application for a medical cannabis dispensary business license must include all of the following information and documents:
(a) The legal name and, if different than the legal name, the trade name of the dispensing organization for which the license is sought.
(b) The common known address of the location where the medical cannabis dispensary will be operated, and evidence that the location is in compliance with all applicable Zoning and Building Code requirements.
(c) The address, telephone number and e-mail address of the applicant and dispensing organization's principal place of business, if different than the common address of the medical cannabis dispensary.
(d) The legal names, addresses, telephone numbers, and e-mail addresses of: 1) all business entities with a financial interest in the dispensing organization, and all officers, directors, partners, managers, and owners thereof; 2) sole proprietors and other individuals with a financial interest in the dispensing organization; and 3) each proposed dispensing organization agent. Pursuant to 410 Illinois Compiled Statutes 130/145(a), this information, if clearly marked as confidential and submitted separately, shall be maintained by the Village as confidential information not subject to disclosure under the Illinois Freedom of Information Act.
(e) Upon request of the Village Manager, the applicant shall also provide the dates of birth and social security numbers and a detailed statement of qualifications and experience related to the operation of a medical cannabis business or related occupation for all officers, directors, partners, managers, and owners of the business entities, and for all sole proprietors and other individuals with a financial interest in the dispensing organization.
(f) If the proposed dispensing organization or the applicant is a business organization other than a sole proprietorship, the following information regarding the dispensing organization and applicant entity:
(1) The type of business organization, the date of formation and affirmation that the organization is authorized to conduct the business of a dispensing organization in the State of Illinois.
(2) If a limited liability company or a corporation, a copy of: a) its certificate of good standing issued by the Secretary of State no more than seven (7) days prior to the date the application is filed with the Village; and b) if the limited liability company or corporation uses an assumed name, a copy of the corporation's assumed name registration issued by the Secretary of State. (Ord. 0-15-11, 4-6-2015)