LEEP Equity Application

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The below application is for individuals who wish to apply for Local Equity Eligibility and meet one of the below criteria. If applying, please choose up to one of the following criteria and ensure to upload supporting material(s) for each criterion you are applying for. The Department will send you an eligibility certificate if approved.

Local Equity Entrepreneurial Program (LEEP) Equity Criteria:

Any individual who has worked in or currently works in the cannabis industry, who has obtained, applied for, or will apply for a cannabis CCBL in Mendocino County, and owns at least 50% of the business and meets one of the following equity criteria:

Please correct the fields below:

Please correct the field(s) marked in red below:

1

Applicant Information:

*

Applicant Information:

First

Last

Email Address

Physical Address

Phone Number

Mendocino CCBL #

2

Business Information

*

Business Information

Legal Name of Business Entity

Business Legal Structure (Sole Proprietorship, Partnership, LLC, Corporation, Cooperative)

Percentage of Ownership

3

Please select the criteria in which you wish to apply for LEEP eligibility:

Lived in a place for at least 5 years between 1980 and 2016 that was a California county with drug arrest rates that were higher than the state average drug arrest rates and: The top 25% for unemployment and poverty; (please include a screenshot of the DCC map tool showing qualifying area with application)

Any individual who was arrested and/or convicted of a non-violent cannabis-related offense prior to November 8, 2016, or who has a parent, sibling or child who was arrested for or convicted of the sale, possession, use, manufacture or cultivation of cannabis (including as a juvenile) prior to November 8, 2016;

Any individual who was personally raided or was subject to asset forfeiture arising from a cannabis-related event;

Are a person who experienced sexual assault, exploitation, domestic violence, and/or human trafficking while participating in the cannabis industry;

Have become homeless or suffered a loss of housing as a result of cannabis enforcement.

Your household income is no more than 60% of the area’s median income, or you’re eligible to get financial aid through a program like: CalFresh, MediCal, CalWORKS, Supplemental security income, Social Security disability

4

Please upload proof of edibility for criteria selected above:

Click button for uploading file

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Maximum size allowed: 5 MB

Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

To receive a copy of your submission, please fill out your email address below and submit.
Email Address

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