Fillable Form 1: Commercial License Application Checklist (State of Oklahoma)

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Form 1: Commercial License Application Checklist (State of Oklahoma)

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Commercial License Application Checklist
OMMA.ok.gov
Oklahoma Medical Marijuana Authority Page 1 of 4
Medical Marijuana
Authority
CHECKLIST 1-10 - NOTE: CHECKLIST & INSTRUCTIONS ARE SUBJECT TO CHANGE.
Please refer to the OMMA website for the most current, up-to-date information.
To speed up the application process, please review this checklist prior to submitting a commercial license application online. The checklist provides
detailed information on the items you will need to provide for the online application. All of the following criteria must be met prior to submission. This
checklist goes into effect on November 1, 2021.
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ACCOUNT RECOGNITION: Monitor the email account; an email will be sent directly to the email entered in the
registration. Once the email is received, click on the link to confirm your email address. You may then start the application
process.
ONLINE APPLICATION: GENERAL INFORMATION – After logging into the application system, select the
COMMERCIAL license option and Create New Application. The application starts with general information about the
commercial establishment.
First & last name – the individual responsible for the account and license information.
Email address – this email will be used to send the registration email and any follow-up notices about unclear or
incomplete information on the application (if any). It will be important to monitor this email inbox for notices
regarding your account and application.
Phone number – accessible number that may be used if questions arise in setting up the account.
Password – required to access and track all application and license information in the future. The password
should be a strong password that the account manager will remember.
Acceptance of terms and conditions for the website.
Individual owner name or primary entity name for the commercial establishment
Type of commercial license: Dispensary, Grower, Processor, or Transporter Researcher, Education, Waste
Disposal License/Permit (each commercial business type and/or separate location must have a separate
application submitted)
Trade name of the business – name of the commercial establishment
Phone number, fax number, and/or website
Business structure type: Sole Proprietor (Individual Owner) / Limited Liability Company (LLC) / Corporation (Inc. or
Corp.) / Limited Partnerships / Limited Liability Partnerships / etc.
FIRST-TIME REGISTRATION: To start the online application process, you must first create a new user account in the
system. The following information is required:
Office/operating hours (optional): Anticipated office or operation hours for the commercial establishment
Commercial License Application Checklist (Updated 11.05.2021)
OMMA.ok.gov
Oklahoma Medical Marijuana Authority Page 2 of 4
Phone number and email
Type of ID Document being uploaded – OK Driver’s License / OK State ID / Passport / Tribal ID
ID number & ID expiration date
Date of birth
Relationship to licensee, i.e. member, manager, board member, or owner. For relationships in sub- entities with an
ownership interest in the applicant please list "owner"
Residence address (Street Address, Apt#, City, State, Zip)
Mailing address if different (Street Address, Apt#, City, State, Zip)
Physical address of the commercial establishment – Street Address, Unit Number, City, County, State, Zip
GPS coordinates (latitude & longitude) of the physical location of the commercial establishment (you may search
Mailing address for the establishment (if different) – Street Address, Unit Number, City, State, Zip
PPOC title
PPOC phone number
PPOC email
PPOC address
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Primary point of contact (PPOC) name (First, Middle, Last, Suffix)
for a GPS coordinate finder on the internet & type in the address)
ONLINE APPLICATION: PRIMARY CONTACT AND REGISTERED AGENT – Registered Agent is found on the
Certificate of Good Standing for those businesses with that requirement.
ONLINE APPLICATION: LOCATION INFORMATION – Information specific to the physical location.
Direct and indirect ownership shares by entity or entities defined above
Entity or Entities in which this person has affiliation
Name – first, middle, last and suffix
ONLINE APPLICATION: ALL OWNERS AND PRINCIPAL OFFICERS – See Title 63 at Sections 421, 422 and 423, and
OAC 310:681-5-3. See also the Ownership Disclosure instructions on the OMMA Business Application website. For each
qualifying owner and members, managers, and board members, the following information must be provided.
Commercial License Application Checklist (Updated 11.05.2021)
OMMA.ok.gov
Oklahoma Medical Marijuana Authority Page 3 of 4
7. ONLINE APPLICATION: QUESTIONS & VERIFICATIONS
Do you attest that the commercial entity will not be located on tribal lands?
On behalf of the commercial establishment, do you pledge not to divert marijuana to any individual or entity that
is not lawfully entitled to possess marijuana?
Do you attest you are authorized to make application on behalf of the applicant?
Do you attest that the information provided in this application is true and correct?
Do you understand the name, address, city, county, and phone number of the licensed establishment will be
published on the OMMA website?
If applicable, do you attest that the dispensary is more than 1,000 feet from any entrance of any public or private
school?
Do you attest that the business has obtained all applicable local licenses and permits?
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I understand it is my responsibility to notify OMMA within 14 days of any transporter agent identification card
associated with the transporter license that needs to be terminated. I also understand that I am responsible to
destroy or return by mail such identification cards to OMMA within 14 days.
I understand that I am responsible for implementing appropriate security measures to deter and prevent the
unauthorized entrance into areas containing medical marijuana and/or medical marijuana products and to prevent
the theft and diversion of marijuana on all licensed premises and vehicles used for transportation of medical
marijuana and/or medical marijuana product.
Do you attest that no individual with ownership interest in the business is a sheriff, deputy sheriff, police officer
or prosecuting officer, or an officer or employee of OMMA or a municipality in which the commercial entity is
located?
Commercial License Application Checklist (Updated 11.05.2021)
OMMA.ok.gov
Oklahoma Medical Marijuana Authority Page 4 of 4
AFFIDAVIT OF LAWFUL PRESENCE DOCUMENTATION (The from can be found on the Business Application
website): Complete the form, and if not a US citizen, please also upload the appropriate documentation
demonstrating you are an approved alien under the federal Immigration and Nationality Act.
FOR DISPENSARIES – Upload a map demonstrating proposed dispensary location is not more than 1,000 feet
from any entrance of any public or private school.
PROOF OF OKLAHOMA RESIDENCY FOR THOSE PERSONS REPRESENTING THE 75% OWNERSHIP
SHARE THAT MUST BE OKLAHOMA RESIDENTS - Applicants must supply proof of residency for the 2 years
preceding the date of application or 5 continuous years out of the last 25 years preceding the date of application
Acceptable forms of proof include:
• An Oklahoma driver’s license;
• An Oklahoma identification card;
• A utility bill for the calendar month preceding the date of application (excluding cellular telephone and internet bills);
• A residential property deed to property in the State of Oklahoma; or
• A current rental agreement for residential property located in the State of Oklahoma.
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SUBMIT APPLICATION WHEN COMPLETE
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ONLINE APPLICATION REVIEW: A review tab is available to help identify complete information. You must complete any
items marked with a red X before you can submit the application. At any time during the application process, you may
save your work and login at a later time using the email username and password entered at the very beginning of this
process. For additional licenses for the same username, you should use the same email username and password to start a
new application process.
ONLINE PAYMENT: Each commercial license is $2,500 annually. The payment method available online will accept:
• Visa • Mastercard Note: A credit card processing fee will also apply.
ONLINE APPLICATION: DOCUMENT UPLOADS – It is recommended applicants should begin collecting all the
information below and have it readily accessible prior to starting the application process.
OWNERSHIP LIST: Upload the completed Excel template file titled “Ownership List.” This file is available on
the OMMA Business Application Information website along with an instructions document titled “Ownership
Disclosure Instructions.”
OKLAHOMA TAX PERMIT - (For Processors & Dispensaries ONLY) The Tax permit will need to be obtained
through the Oklahoma Tax Commission prior to application submission. Please provide the STS number (including
all dashes and letters) when filling out the digital application.
CERTIFICATE OF GOOD STANDING: Unless the business entity is a Sole Proprietorship or General Partnership,
submit a copy of the Oklahoma Secretary of State’s certificate of good standing document. For more information,
you may visit the Oklahoma Secretary of state at www.sos.ok.gov.
OWNERSHIP DISCLOSURE DOCUMENTATION - Please provide documentation of all ownership interests in the
business. Documentation may include copies of bylaws, articles of organization, operating agreements, limited
partnership agreements, or equivalent documents related to ownership.
CERTIFICATE OF COMPLIANCE – All new business applications are required to submit a Certificate of
Compliance from the political subdivision that has jurisdiction where the business is located (usually a city or
county). Businesses are encouraged to contact their city or county for more information on this process before
submitting their application
IDENTIFICATION (upload separately for EACH person of interest identified): Front and back copies of an
approved identification document which may include: •
OK driver’s license • OK state ID • Passport, or • Tribal ID
BACKGROUND CHECK (upload separately for EACH owner identified): To acquire a background check report
follow this link to the Oklahoma State Bureau of Investigation web page for name based criminal history searches
[www.ok.gov/osbi/]. Request a report. All background check fees are the responsibility of the applicant at the time
of the background check submission. Submit the report for each person of interest identified in the application.
Commercial License Application Checklist (Updated 11.05.2021)
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Form 1: Commercial License Application Checklist (State of Oklahoma)

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Completed 16 March 2022

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