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SAN,JOAQUIN Environmental Health Department <br />.. COUNTY <br />COMMERCIAL CANNABIS LICENSE APPLICATION <br />PART B — OWNER INFORMATION <br />LEGAL BUSINESS NAME: <br />Greene Brothers Farm, Inc. <br />BUSINESS PHYSICAL ADDRESS: CITY: STATE: LP CODE: <br />12470 Locke Road. Ste. 600 Lockeford CA 95237 <br />OWNER INFORMATION <br />Complete the information below for each owner as defined in 4-10005(o). Total Number of Legal 5 <br />Owners: <br />OWNER # 2 of 6 <br />OWNER LEGAL LAST NAME:OWNER LEGAL FIRST NAME: BUSINESS TITLE: <br />Sinnett I Scott I CEO <br />PHONE NUMBER: EMAIL ADDRESS: <br />DATE OWNER ACQUIRED <br />INTEREST: <br />% OF OWNERSHIP: <br />(951)235-9223 srsinnett@gmail.com 1 4/11/22 1 10% <br />OWNER CANNABIS FINANCIAL INTERESTS - List all state issued cannabis license(s) the owner holds an <br />ownership or financial interest in. Attach additional. <br />TYPE OF LICENSE ISSUED BY TYPE OF LICENSE <br />LICENSE NUMBER LICENSE NUMBER <br />ISSUED BY <br />See Attached <br />DISCLOSURES <br />Provide the information below for all convictions and attach a detailed description of the offense for which you <br />were convicted. (4-10011(a)(b)) <br />Date of Conviction: Code Section: Type of Conviction: (felony or <br />misdemeanor) <br />05/2005 23152(b) M <br />Dates of Incarceration: Dates of Probation: Dates of Parole: <br />05/2005: (1) Day 05/2005-11/2005 N/A <br />Date of Conviction: Code Section: Type of Conviction: (felony or <br />misdemeanor <br />Dates of Incarceration: Dates of Probation: Dates of Parole: <br />OWNER ATTACHMENTS <br />® I Copy of government issued identification. <br />OWNER DECLARATIONS <br />1 <br />1 understand that I am responsible for knowing and complying with all California state and local laws and <br />regulations applicable to commercial cannabis. <br />2. <br />1 understand I am responsible for compliance with subsequent updates to cannabis laws and regulations. <br />3 <br />1 hereby declare the information contained within and attached to this application is complete, true, and <br />accurate. <br />4 <br />1 understand a misrepresentation of fact is cause for rejection of this application, denial of the license, or <br />revocation of an issued license <br />OWNER SIGNATURE: ScottSiyiett <br />-1 0,r 11, 2926 W I u%*r) <br />DATE: 04/10/26 <br />PRINT NAME: Scott Sinnett <br />SR 10; FACILITY 10. <br />PE CODE: PROGRAM RECORD 10: <br />7-29-2019 <br />1868 E. Hazelton Avenue 1 Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />