Secretary of State LLC-12 19-D97372

Statement of Information
(Limited Liability Company) FILED
In the office of the Secretary of State
IMPORTANT — Read instructions before completing this form. of the State of California

Filing Fee – $20.00

OCT 21, 2019
Copy Fees – First page $1.00; each attachment page $0.50;
Certification Fee - $5.00 plus copy fees
This Space For Office Use Only
1. Limited Liability Company Name (Enter the exact name of the LLC. If you registered in California using an alternate name, see instructions.)
INTER RESERVE ENTERPRISES LLC
2. 12-Digit Secretary of State File Number 3. State, Foreign Country or Place of Organization (only if formed outside of California)
201928410542 DELAWARE
4. Business Addresses
a. Street Address of Principal Office - Do not list a P.O. Box City (no abbreviations) State Zip Code
460 9th Street #464 Third Floor San Francisco CA 94103
b. Mailing Address of LLC, if different than item 4a City (no abbreviations) State Zip Code
460 9th Street #464 Third Floor San Francisco CA 94103
c. Street Address of California Office, if Item 4a is not in California - Do not list a P.O. Box City (no abbreviations) State Zip Code
460 9th Street #464 Third Floor San Francisco CA 94103
If no managers have been appointed or elected, provide the name and address of each member. At least one name and address
must be listed. If the manager/member is an individual, complete Items 5a and 5c (leave Item 5b blank). If the manager/member is
5. Manager(s) or Member(s) an entity, complete Items 5b and 5c (leave Item 5a blank). Note: The LLC cannot serve as its own manager or member. If the LLC
has additional managers/members, enter the name(s) and addresses on Form LLC-12A (see instructions).
a. First Name, if an individual - Do not complete Item 5b Middle Name Last Name Suffix
Andrey Muraviev
b. Entity Name - Do not complete Item 5a

c. Address City (no abbreviations) State Zip Code

460 9th Street #464 Third Floor San Francisco CA 94103
6. Service of Process (Must provide either Individual OR Corporation.)

INDIVIDUAL – Complete Items 6a and 6b only. Must include agent’s full name and California street address.

a. California Agent's First Name (if agent is not a corporation) Middle Name Last Name Suffix
Rose Mitchell
b. Street Address (if agent is not a corporation) - Do not enter a P.O. Box City (no abbreviations) State Zip Code
460 9th Street #464 Third Floor San Francisco CA 94103
CORPORATION – Complete Item 6c only. Only include the name of the registered agent Corporation.
c. California Registered Corporate Agent’s Name (if agent is a corporation) – Do not complete Item 6a or 6b

7. Type of Business
a. Describe the type of business or services of the Limited Liability Company
Holding Company
8. Chief Executive Officer, if elected or appointed
a. First Name Middle Name Last Name Suffix
Dmitry Kasatov
b. Address City (no abbreviations) State Zip Code
460 9th Street #464 Third Floor San Francisco CA 94103
9. The Information contained herein, including any attachments, is true and correct.

10/21/2019 Anna Jacobson CRO

_____________________ ____________________________________________________________ _________________________ __________________________________
Date Type or Print Name of Person Completing the Form Title Signature
Return Address (Optional) (For communication from the Secretary of State related to this document, or if purchasing a copy of the filed document enter the name of a
person or company and the mailing address. This information will become public when filed. SEE INSTRUCTIONS BEFORE COMPLETING.)

Name:  
Company:

Address:
City/State/Zip:  

LLC-12 (REV 01/2017)

Page 1 of 1 2017 California Secretary of State

www.sos.ca.gov/business/be

Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid OMB control number.
PTO Form 1478 (Rev 09/2006)
OMB No. 0651-0009 (Exp 02/28/2021)

Trademark/Service Mark Application, Principal Register

Serial Number: 88568736
Filing Date: 08/06/2019

The table below presents the data as entered.

Input Field Entered

SERIAL NUMBER 88568736
MARK INFORMATION
\\TICRS\EXPORT17\IMAGEOUT
*MARK
17\885\687\88568736\xml1\ RFA0002.JPG
SPECIAL FORM YES
USPTO-GENERATED IMAGE NO
LITERAL ELEMENT STICKY FINGERS
COLOR MARK NO
The mark consists of the word "STICKY" above a caricature of
*DESCRIPTION OF THE MARK a hand with a french cuff at the wrist, the hand extending the
(and Color Location, if applicable) index finger and middle finger in a "peace sign" with the palm
facing forward. The word "FINGERS" below the hand.
PIXEL COUNT ACCEPTABLE YES
PIXEL COUNT 701 x 687
REGISTER Principal
APPLICANT INFORMATION
*OWNER OF MARK Inter Reserve Enterprises LLC
*STREET 170 Green Valley Parkway, Suite 300
*CITY Henderson
*STATE
Nevada
(Required for U.S. applicants)

*COUNTRY United States

*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
89012

LEGAL ENTITY INFORMATION

TYPE limited liability company
STATE/COUNTRY WHERE LEGALLY ORGANIZED Delaware
GOODS AND/OR SERVICES AND BASIS INFORMATION
INTERNATIONAL CLASS 009
*IDENTIFICATION Batteries
FILING BASIS SECTION 1(b)
ATTORNEY INFORMATION
NAME Justin McNaughton
ATTORNEY DOCKET NUMBER 57499.0013
ATTORNEY BAR MEMBERSHIP NUMBER XXX
YEAR OF ADMISSION XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY XX
FIRM NAME Greenspoon Marder, LLP
STREET 424 Church Street, Suite 2000
CITY Nashville
STATE Tennessee
COUNTRY United States
ZIP/POSTAL CODE 37219
PHONE 615-994-1609
EMAIL ADDRESS justin.mcnaughton@gmlaw.com
AUTHORIZED TO COMMUNICATE VIA EMAIL Yes
OTHER APPOINTED ATTORNEY Todd Langford
CORRESPONDENCE INFORMATION
NAME Justin McNaughton
FIRM NAME Greenspoon Marder, LLP
STREET 1401 Lawrence Street, Suite 1900
CITY Denver
STATE Colorado
COUNTRY United States
ZIP/POSTAL CODE 80202
PHONE 615-994-1609
justin.mcnaughton@gmlaw.com;
*EMAIL ADDRESS
trademarkdocket@gmlaw.com
*AUTHORIZED TO COMMUNICATE VIA EMAIL Yes
FEE INFORMATION
APPLICATION FILING OPTION TEAS RF
NUMBER OF CLASSES 1
APPLICATION FOR REGISTRATION PER CLASS 275
*TOTAL FEE DUE 275
*TOTAL FEE PAID 275
SIGNATURE INFORMATION
SIGNATURE / Dmitry Kasatov/
SIGNATORY'S NAME Dmitry Kasatov
SIGNATORY'S POSITION Manager
DATE SIGNED 08/06/2019
Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid OMB control number.
PTO Form 1478 (Rev 09/2006)
OMB No. 0651-0009 (Exp 02/28/2021)

Trademark/Service Mark Application, Principal Register

Serial Number: 88568736

Filing Date: 08/06/2019
To the Commissioner for Trademarks:

MARK: STICKY FINGERS (stylized and/or with design, see mark)

The literal element of the mark consists of STICKY FINGERS. The mark consists of the word "STICKY" above a caricature of a hand with a
french cuff at the wrist, the hand extending the index finger and middle finger in a "peace sign" with the palm facing forward. The word
"FINGERS" below the hand.
The applicant, Inter Reserve Enterprises LLC, a limited liability company legally organized under the laws of Delaware, having an address of
170 Green Valley Parkway, Suite 300
Henderson, Nevada 89012
United States

requests registration of the trademark/service mark identified above in the United States Patent and Trademark Office on the Principal Register
established by the Act of July 5, 1946 (15 U.S.C. Section 1051 et seq.), as amended, for the following:

International Class 009: Batteries

Intent to Use: The applicant has a bona fide intention, and is entitled, to use the mark in commerce on or in connection with the identified
goods/services.

The applicant hereby appoints Justin McNaughton. Other appointed attorneys are Todd Langford. Justin McNaughton of Greenspoon Marder,
LLP, is a member of the XX bar, admitted to the bar in XXXX, bar membership no. XXX, and the attorney(s) is located at
424 Church Street, Suite 2000
Nashville, Tennessee 37219
United States
615-994-1609(phone)
justin.mcnaughton@gmlaw.com (authorized).
The attorney docket/reference number is 57499.0013.
Justin McNaughton submitted the following statement: I attest that I am an attorney who is an active member in good standing of the bar of the
highest court of a U.S. state (including the District of Columbia and any U.S. Commonwealth or territory).

The applicant's current Correspondence Information:

Justin McNaughton
Greenspoon Marder, LLP
1401 Lawrence Street, Suite 1900
Denver, Colorado 80202
615-994-1609(phone)
justin.mcnaughton@gmlaw.com; trademarkdocket@gmlaw.com (authorized).

Email Authorization: I authorize the USPTO to send email correspondence concerning the application to the applicant, the applicant's attorney,
or the applicant's domestic representative at the email address provided in this application. I understand that a valid email address must be
maintained and that the applicant or the applicant's attorney must file the relevant subsequent application-related submissions via the Trademark
Electronic Application System (TEAS). Failure to do so will result in the loss of TEAS Reduced Fee status and a requirement to submit an
additional processing fee of $125 per international class of goods/services.

A fee payment in the amount of $275 has been submitted with the application, representing payment for 1 class(es).

Declaration
 Basis:
If the applicant is filing the application based on use in commerce under 15 U.S.C. § 1051(a):

The signatory believes that the applicant is the owner of the trademark/service mark sought to be registered;
The mark is in use in commerce on or in connection with the goods/services in the application;
The specimen(s) shows the mark as used on or in connection with the goods/services in the application; and
To the best of the signatory's knowledge and belief, the facts recited in the application are accurate.

And/Or
If the applicant is filing the application based on an intent to use the mark in commerce under 15 U.S.C. § 1051(b), § 1126(d),
and/or § 1126(e):

The signatory believes that the applicant is entitled to use the mark in commerce;
The applicant has a bona fide intention to use the mark in commerce on or in connection with the goods/services in the
application; and
To the best of the signatory's knowledge and belief, the facts recited in the application are accurate.
To the best of the signatory's knowledge and belief, no other persons, except, if applicable, concurrent users, have the right to use the
mark in commerce, either in the identical form or in such near resemblance as to be likely, when used on or in connection with the
goods/services of such other persons, to cause confusion or mistake, or to deceive.
To the best of the signatory's knowledge, information, and belief, formed after an inquiry reasonable under the circumstances, the
allegations and other factual contentions made above have evidentiary support.
The signatory being warned that willful false statements and the like are punishable by fine or imprisonment, or both, under 18 U.S.C. §
1001, and that such willful false statements and the like may jeopardize the validity of the application or submission or any registration
resulting therefrom, declares that all statements made of his/her own knowledge are true and all statements made on information and
belief are believed to be true.
Declaration Signature

Signature: / Dmitry Kasatov/ Date: 08/06/2019

Signatory's Name: Dmitry Kasatov
Signatory's Position: Manager
Payment Sale Number: 88568736
Payment Accounting Date: 08/06/2019

Serial Number: 88568736

Internet Transmission Date: Tue Aug 06 17:43:19 EDT 2019
TEAS Stamp: USPTO/BAS-XXX.XXX.XX.X-20190806174319098
977-88568736-6106495c171f424c55729454d3c
9bd99225c49b5817280218ac415b6319f68b53-C
C-43188089-20190806150401636060
Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid OMB control number.
PTO Form 1478 (Rev 09/2006)
OMB No. 0651-0009 (Exp 02/28/2021)

Trademark/Service Mark Application, Principal Register

Serial Number: 88591751
Filing Date: 08/25/2019

The table below presents the data as entered.

Input Field Entered

SERIAL NUMBER 88591751
MARK INFORMATION
\\TICRS\EXPORT17\IMAGEOUT
*MARK
17\885\917\88591751\xml1\ RFA0002.JPG
SPECIAL FORM YES
USPTO-GENERATED IMAGE NO
LITERAL ELEMENT CITY HAZE SAN FRANCISCO EST. 2019
COLOR MARK NO
The mark consists of A shield containing a cityscape with the
words CITY HAZE in block letter across the front of the shield
*DESCRIPTION OF THE MARK
(and Color Location, if applicable)
and the words SAN FRANCISCO written on a banner across
the shield below the words CITY HAZE. The words EST.
2019 at the bottom of the shield.
PIXEL COUNT ACCEPTABLE YES
PIXEL COUNT 380 x 357
REGISTER Principal
APPLICANT INFORMATION
*OWNER OF MARK Inter Reserve Enterprises LLC
*STREET 170 Green Valley Parkway, Suite 300
*CITY Henderson
*STATE
(Required for U.S. applicants)
Nevada

*COUNTRY United States

*ZIP/POSTAL CODE
89012
(Required for U.S. and certain international addresses)

LEGAL ENTITY INFORMATION

TYPE limited liability company
STATE/COUNTRY WHERE LEGALLY ORGANIZED Delaware
GOODS AND/OR SERVICES AND BASIS INFORMATION
INTERNATIONAL CLASS 034
pre-rolled hemp; lighters for smokers; electronic vaporizer
*IDENTIFICATION
cartridges containing cannabidiol derived from hemp
FILING BASIS SECTION 1(b)
ATTORNEY INFORMATION
NAME Justin McNaughton
ATTORNEY DOCKET NUMBER 57499.0015
ATTORNEY BAR MEMBERSHIP NUMBER XXX
YEAR OF ADMISSION XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY XX
FIRM NAME Greenspoon Marder, LLP
STREET 424 Church Street, Suite 2000
CITY Nashville
STATE Tennessee
COUNTRY United States
ZIP/POSTAL CODE 37219
PHONE 615-994-1609
EMAIL ADDRESS justin.mcnaughton@gmlaw.com
AUTHORIZED TO COMMUNICATE VIA EMAIL Yes
OTHER APPOINTED ATTORNEY Todd Langford
CORRESPONDENCE INFORMATION
NAME Justin McNaughton
FIRM NAME Greenspoon Marder, LLP
STREET 1401 Lawrence Street, Suite 1900
CITY Denver
STATE Colorado
COUNTRY United States
ZIP/POSTAL CODE 80202
PHONE 615-994-1609
justin.mcnaughton@gmlaw.com;
*EMAIL ADDRESS
trademarkdocket@gmlaw.com
*AUTHORIZED TO COMMUNICATE VIA EMAIL Yes
FEE INFORMATION
APPLICATION FILING OPTION TEAS RF
NUMBER OF CLASSES 1
APPLICATION FOR REGISTRATION PER CLASS 275
*TOTAL FEE DUE 275
*TOTAL FEE PAID 275
SIGNATURE INFORMATION
SIGNATURE /Dmitry Kasatov/
SIGNATORY'S NAME Dmitry Kasatov
SIGNATORY'S POSITION Manager
SIGNATORY'S PHONE NUMBER 6289992392
DATE SIGNED 08/24/2019
Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid OMB control number.
PTO Form 1478 (Rev 09/2006)
OMB No. 0651-0009 (Exp 02/28/2021)

Trademark/Service Mark Application, Principal Register

Serial Number: 88591751

Filing Date: 08/25/2019
To the Commissioner for Trademarks:

MARK: CITY HAZE SAN FRANCISCO EST. 2019 (stylized and/or with design, see mark)
The literal element of the mark consists of CITY HAZE SAN FRANCISCO EST. 2019. The mark consists of A shield containing a cityscape
with the words CITY HAZE in block letter across the front of the shield and the words SAN FRANCISCO written on a banner across the shield
below the words CITY HAZE. The words EST. 2019 at the bottom of the shield.
The applicant, Inter Reserve Enterprises LLC, a limited liability company legally organized under the laws of Delaware, having an address of
170 Green Valley Parkway, Suite 300
Henderson, Nevada 89012
United States

requests registration of the trademark/service mark identified above in the United States Patent and Trademark Office on the Principal Register
established by the Act of July 5, 1946 (15 U.S.C. Section 1051 et seq.), as amended, for the following:

International Class 034: pre-rolled hemp; lighters for smokers; electronic vaporizer cartridges containing cannabidiol derived from hemp
Intent to Use: The applicant has a bona fide intention, and is entitled, to use the mark in commerce on or in connection with the identified
goods/services.

The applicant hereby appoints Justin McNaughton. Other appointed attorneys are Todd Langford. Justin McNaughton of Greenspoon Marder,
LLP, is a member of the XX bar, admitted to the bar in XXXX, bar membership no. XXX, and the attorney(s) is located at
424 Church Street, Suite 2000
Nashville, Tennessee 37219
United States
615-994-1609(phone)
justin.mcnaughton@gmlaw.com (authorized).
The attorney docket/reference number is 57499.0015.
Justin McNaughton submitted the following statement: The attorney of record is an active member in good standing of the bar of the highest
court of a U.S. state, the District of Columbia, or any U.S. Commonwealth or territory.

The applicant's current Correspondence Information:

Justin McNaughton
Greenspoon Marder, LLP
1401 Lawrence Street, Suite 1900
Denver, Colorado 80202
615-994-1609(phone)
justin.mcnaughton@gmlaw.com; trademarkdocket@gmlaw.com (authorized).

Email Authorization: I authorize the USPTO to send email correspondence concerning the application to the applicant, the applicant's attorney,
or the applicant's domestic representative at the email address provided in this application. I understand that a valid email address must be
maintained and that the applicant or the applicant's attorney must file the relevant subsequent application-related submissions via the Trademark
Electronic Application System (TEAS). Failure to do so will result in the loss of TEAS Reduced Fee status and a requirement to submit an
additional processing fee of $125 per international class of goods/services.

A fee payment in the amount of $275 has been submitted with the application, representing payment for 1 class(es).

Declaration
 Basis:
If the applicant is filing the application based on use in commerce under 15 U.S.C. § 1051(a):

The signatory believes that the applicant is the owner of the trademark/service mark sought to be registered;
The mark is in use in commerce on or in connection with the goods/services in the application;
The specimen(s) shows the mark as used on or in connection with the goods/services in the application; and
To the best of the signatory's knowledge and belief, the facts recited in the application are accurate.

And/Or
If the applicant is filing the application based on an intent to use the mark in commerce under 15 U.S.C. § 1051(b), § 1126(d),
and/or § 1126(e):

The signatory believes that the applicant is entitled to use the mark in commerce;
The applicant has a bona fide intention to use the mark in commerce on or in connection with the goods/services in the
application; and
To the best of the signatory's knowledge and belief, the facts recited in the application are accurate.
To the best of the signatory's knowledge and belief, no other persons, except, if applicable, concurrent users, have the right to use the
mark in commerce, either in the identical form or in such near resemblance as to be likely, when used on or in connection with the
goods/services of such other persons, to cause confusion or mistake, or to deceive.
To the best of the signatory's knowledge, information, and belief, formed after an inquiry reasonable under the circumstances, the
allegations and other factual contentions made above have evidentiary support.
The signatory being warned that willful false statements and the like are punishable by fine or imprisonment, or both, under 18 U.S.C. §
1001, and that such willful false statements and the like may jeopardize the validity of the application or submission or any registration
resulting therefrom, declares that all statements made of his/her own knowledge are true and all statements made on information and
belief are believed to be true.
Declaration Signature

Signature: /Dmitry Kasatov/ Date: 08/24/2019

Signatory's Name: Dmitry Kasatov
Signatory's Position: Manager
Payment Sale Number: 88591751
Payment Accounting Date: 08/26/2019

Serial Number: 88591751

Internet Transmission Date: Sun Aug 25 17:06:50 EDT 2019
TEAS Stamp: USPTO/BAS-XXX.XXX.XX.X-20190825170650796
711-88591751-61083d042373cbed7cb9beb9884
b91ef53e45d681a91af2be8adf0709b5130b1-CC
-06506852-20190824121726796134
 State of California S
Secretary of State
Statement of Information G724106
(Domestic Stock and Agricultural Cooperative Corporations)
FEES (Filing and Disclosure): $25.00.
If this is an amendment, see instructions.
FILED
IMPORTANT – READ INSTRUCTIONS BEFORE COMPLETING THIS FORM In the office of the Secretary of State
1. CORPORATE NAME of the State of California
CALI DISTRIBUTION INC.

JUN-12 2019

2. CALIFORNIA CORPORATE NUMBER

C4020423 This Space for Filing Use Only

No Change Statement (Not applicable if agent address of record is a P.O. Box address. See instructions.)
3. If there have been any changes to the information contained in the last Statement of Information filed with the California Secretary
of State, or no statement of information has been previously filed, this form must be completed in its entirety.
If there has been no change in any of the information contained in the last Statement of Information filed with the California Secretary
of State, check the box and proceed to Item 17.

Complete Addresses for the Following (Do not abbreviate the name of the city. Items 4 and 5 cannot be P.O. Boxes.)
4. STREET ADDRESS OF PRINCIPAL EXECUTIVE OFFICE CITY STATE ZIP CODE
460 9TH STREET, SAN FRANCISCO, CA 94103
5. STREET ADDRESS OF PRINCIPAL BUSINESS OFFICE IN CALIFORNIA, IF ANY CITY STATE ZIP CODE

6. MAILING ADDRESS OF CORPORATION, IF DIFFERENT THAN ITEM 4 CITY STATE ZIP CODE

7. EMAIL ADDRESS FOR RECEIVING STATUTORY NOTIFICATIONS

Names and Complete Addresses of the Following Officers (The corporation must list these three officers. A comparable title for the specific
officer may be added; however, the preprinted titles on this form must not be altered.)
7. CHIEF EXECUTIVE OFFICER/ ADDRESS CITY STATE ZIP CODE
DMITRY KASATOV 460 9TH STREET, SAN FRANCISCO, CA 94103
8. SECRETARY ADDRESS CITY STATE ZIP CODE
DMITRY KASATOV 460 9TH STREET, SAN FRANCISCO, CA 94103
9. CHIEF FINANCIAL OFFICER/ ADDRESS CITY STATE ZIP CODE
DMITRY KASATOV 460 9TH STREET, SAN FRANCISCO, CA 94103
Names and Complete Addresses of All Directors, Including Directors Who are Also Officers (The corporation must have at least one
director. Attach additional pages, if necessary.)
10. NAME ADDRESS CITY STATE ZIP CODE
LAWRENCE MICHELSON 460 9TH STREET, SAN FRANCISCO, CA 94103
11. NAME ADDRESS CITY STATE ZIP CODE
DMITRY KASATOV 460 9TH STREET, SAN FRANCISCO, CA 94103
12. NAME ADDRESS CITY STATE ZIP CODE
ALEXANDER MIKHALEV 460 9TH STREET, SAN FRANCISCO, CA 94103
13. NUMBER OF VACANCIES ON THE BOARD OF DIRECTORS, IF ANY:
Agent for Service of Process If the agent is an individual, the agent must reside in California and Item 15 must be completed with a California street
address, a P.O. Box address is not acceptable. If the agent is another corporation, the agent must have on file with the California Secretary of State a
certificate pursuant to California Corporations Code section 1505 and Item 15 must be left blank.
14. NAME OF AGENT FOR SERVICE OF PROCESS [Note: The person designated as the corporation's agent MUST have agreed to act in that capacity prior to the designation.]
CORPORATION SERVICE COMPANY WHICH WILL DO BUSINESS IN CALIFORNIA AS CSC - LAWYERS INCORPORATING SERVICE
15. STREET ADDRESS OF AGENT FOR SERVICE OF PROCESS IN CALIFORNIA, IF AN INDIVIDUAL CITY STATE ZIP CODE

Type of Business
16. DESCRIBE THE TYPE OF BUSINESS OF THE CORPORATION
WHOLESALE DISTRIBUTION
17. BY SUBMITTING THIS STATEMENT OF INFORMATION TO THE CALIFORNIA SECRETARY OF STATE, THE CORPORATION CERTIFIES THE INFORMATION
CONTAINED HEREIN, INCLUDING ANY ATTACHMENTS, IS TRUE AND CORRECT.
06/12/2019 DIANA L OZOLINS AUTHORIZED PERSON
DATE TYPE/PRINT NAME OF PERSON COMPLETING FORM TITLE SIGNATURE
SI-200 (REV 01/2013) Page 1 of 1 APPROVED BY SECRETARY OF STATE
THIS PERMIT IS VALID FOR 120 DAYS AFTER ISSUANCE . 120-day period includes weekends and holidays. 120-day extensions require
advance approval from, and are subject to the discretion of the Director.

Temporary Permit To Operate T0101DF

Issued according to provisions of the San Francisco Police Code

AUTHORIZING conduct of the following class of Business Issued: May 2, 2018

Cannabis Distributor Extended: Aug 30, 2018 - May 1, 2019

CERT No: 1078738-1166772-11-171
Name and Address Below:

Owner: Cali Distribution Inc Office of Cannabis

City & County of San Francisco
DBA: Cali Distribution Inc Valid only when accompanied by a receipt from the Tax
Collector showing payment of current license fee. THIS
PERMIT TO OPERATE MAY BE REVOKED OR
Street Address: 460 9th Street SUSPENDED FOR CAUSE AND IS NOT TRANSFERABLE.
CHANGE OF OWNERSHIP MUST BE REPORTED
IMMEDIATELY.

Director

The holder of this Temporary Cannabis Business Permit MUST apply for a PERMANENT Cannabis Business Permit within 30 days of when the Office of
Cannabis makes applications for permanent permits available. Issuance of this Temporary Cannabis Business Permit does not obligate the Director of the
Office of Cannabis to issue a permanent Cannabis Business Permit, or create any vested right in the holder of this Temporary Cannabis Business Permit.

Display this Permit prominently. This margin may be trimmed for a standard 6x8 frame.
 City and County of San Francisco London Breed, Mayor
DEPARTMENT OF PUBLIC HEALTH Dr. Grant Colfax, Director of Health
POPULATION HEALTH DIVISION Tomás J. Aragón, MD, DrPH
Health Officer, City & County of San Francisco
Director, Population Health Division
 
 
                Date: 7/22/2019 
 
DBA:      2 One 2 California 
Permit No:  C 84287   
Owner:    CSBB, Inc. 
Location:  212 California St 
    San Francisco, CA 94111 
 

RE: Medical Cannabis Dispensary Permit Amendment 
 
This letter hereby temporarily amends the above referenced operator’s Medical Cannabis Dispensary 
Permit by authorizing the permit holder to sell Adult Use Cannabis and Cannabis Products to individuals 
21 years of age and over at the permitted site.  This permit amendment shall be valid for 120 days from 
the date of this letter, and shall expire on:  11/19/2019.  The Department of Public Health retains the 
right to revoke this authorization to sell Adult Use Cannabis if it finds any violations of Police Code 
Article 16, Health Code Article 33, or other applicable laws and regulations.  The Department of Public 
Health also retains the right to revoke or suspend the underlying Medical Cannabis Dispensary permit if 
it finds any violations of Article 33 of the Health Code, or other applicable laws and regulations. 
 
This letter must be posted with the Medical Cannabis Dispensary Permit. 
 
Contact Senior Inspector Douglas Obana at 415‐252‐3993 with any questions. 
 
Very truly yours, 
 

 
Stephanie K. J. Cushing, MSPH, CHMM, REHS 
Director, Environmental Health Branch 
Population Health Division 
San Francisco Department of Public Health 
 
 Secretary of State LLC-12 19-A68858
Statement of Information
(Limited Liability Company) FILED
In the office of the Secretary of State
IMPORTANT — Read instructions before completing this form. of the State of California

Filing Fee – $20.00

FEB 19, 2019
Copy Fees – First page $1.00; each attachment page $0.50;
Certification Fee - $5.00 plus copy fees
This Space For Office Use Only
1. Limited Liability Company Name (Enter the exact name of the LLC. If you registered in California using an alternate name, see instructions.)
RX FLOWERS, LLC
2. 12-Digit Secretary of State File Number 3. State, Foreign Country or Place of Organization (only if formed outside of California)
201722010417 CALIFORNIA
4. Business Addresses
a. Street Address of Principal Office - Do not list a P.O. Box City (no abbreviations) State Zip Code
214 California Street, 205 SAN FRANCISCO CA 94111-4401
b. Mailing Address of LLC, if different than item 4a City (no abbreviations) State Zip Code
2121 E Warm Springs Rd, Apt 1133 Las Vegas NV 89119
c. Street Address of California Office, if Item 4a is not in California - Do not list a P.O. Box City (no abbreviations) State Zip Code
214 California Street, 205 SAN FRANCISCO CA 94111-4401
If no managers have been appointed or elected, provide the name and address of each member. At least one name and address
must be listed. If the manager/member is an individual, complete Items 5a and 5c (leave Item 5b blank). If the manager/member is
5. Manager(s) or Member(s) an entity, complete Items 5b and 5c (leave Item 5a blank). Note: The LLC cannot serve as its own manager or member. If the LLC
has additional managers/members, enter the name(s) and addresses on Form LLC-12A (see instructions).
a. First Name, if an individual - Do not complete Item 5b Middle Name Last Name Suffix
Dmitry Kasatov
b. Entity Name - Do not complete Item 5a

c. Address City (no abbreviations) State Zip Code

2121 E Warm Springs Rd, Apt 1133 las vegas NV 89119
6. Service of Process (Must provide either Individual OR Corporation.)

INDIVIDUAL – Complete Items 6a and 6b only. Must include agent’s full name and California street address.

a. California Agent's First Name (if agent is not a corporation) Middle Name Last Name Suffix
Dmitry Kasatov
b. Street Address (if agent is not a corporation) - Do not enter a P.O. Box City (no abbreviations) State Zip Code
214 California Street, 205 SAN FRANCISCO CA 94111-4401
CORPORATION – Complete Item 6c only. Only include the name of the registered agent Corporation.
c. California Registered Corporate Agent’s Name (if agent is a corporation) – Do not complete Item 6a or 6b

7. Type of Business
a. Describe the type of business or services of the Limited Liability Company
Retail
8. Chief Executive Officer, if elected or appointed
a. First Name Middle Name Last Name Suffix

b. Address City (no abbreviations) State Zip Code

9. The Information contained herein, including any attachments, is true and correct.

02/19/2019 Penelope Devries Manager

_____________________ ____________________________________________________________ _________________________ __________________________________
Date Type or Print Name of Person Completing the Form Title Signature
Return Address (Optional) (For communication from the Secretary of State related to this document, or if purchasing a copy of the filed document enter the name of a
person or company and the mailing address. This information will become public when filed. SEE INSTRUCTIONS BEFORE COMPLETING.)

Name:  
Company:

Address:
City/State/Zip:  

LLC-12 (REV 01/2017)

Page 1 of 2 2017 California Secretary of State

www.sos.ca.gov/business/be

 Attachment to 19-A68858
LLC-12A
Statement of Information
Attachment
(Limited Liability Company)

A. Limited Liability Company Name

RX FLOWERS, LLC

This Space For Office Use Only

B. 12-Digit Secretary of State File Number C. State or Place of Organization (only if formed outside of California)

201722010417 CALIFORNIA

D. List of Additional Manager(s) or Member(s) - If the manager/member is an individual, enter the individual’s name and address. If the
manager/member is an entity, enter the entity’s name and address. Note: The LLC cannot serve as its own manager or member.

First Name Middle Name Last Name Suffix

Penelope Devries
Entity Name

Address City (no abbreviations) State Zip Code

214 California Street, 205 SAN FRANCISCO CA 94111-4401
First Name Middle Name Last Name Suffix

Entity Name

Address City (no abbreviations) State Zip Code

First Name Middle Name Last Name Suffix

Entity Name

Address City (no abbreviations) State Zip Code

First Name Middle Name Last Name Suffix

Entity Name

Address City (no abbreviations) State Zip Code

First Name Middle Name Last Name Suffix

Entity Name

Address City (no abbreviations) State Zip Code

First Name Middle Name Last Name Suffix

Entity Name

Address City (no abbreviations) State Zip Code

First Name Middle Name Last Name Suffix

Entity Name

Address City (no abbreviations) State Zip Code

LLC-12A - Attachment (EST 07/2016) Page 2 of 2 2016 California Secretary of State

www.sos.ca.gov/business/be