Ey VIEIMG g. COMPASSIONATE meadowionds Greaaks CENTERS OF AMERICA FOUNDATION, INC Application to Establish and Operate a Medicinal Marijuana ‘Alternative Treatment Center in the Central Region Compassionate Care Centers of America Foundation, Inc. PO Box 1 + Jersey City, NJ 07303 155 Van Wagenen Avenue, 4th Floor + Jersey City, NJ 07306 Contact: (201) 222-3300 E-mail: compassionatecare@meadowlandshospital.org, Attestation, I, David Weisser, am a member of the Board of Directors and the President of Compassionate Care Centers of America Foundation, Inc., a New Jersey nonprofit corporation. I am authorized to make legally binding commitments on behalf of Compassionate Care Centers of America Foundation, Inc. I hereby attest to the accuracy and veracity of all statements, figures, amounts, information incorporated within the materials submitted. ) ( = Dated: February Y 52011 David Weisser Subscribed and swom to before me this _{/ He day of February, 2011 LOUISE THOMPSON Atay Pubic OF Rew Jere ey Commissan Expires No, 17, 2082COMPASSIONATE CARE (CENTERS OF AMERICA FOUNDATION, INC. Criterion 1, Measure 1 Proposed legal name: ‘Compassionate Care Centers of America Foundation, Inc. Appendix A includes the following supporting documents: ‘* Certificate of Incorporation of Compassionate Care Centers of America Foundation, Inc. filed on February 10, 2011. * Bylaws adopted February 10, 2011 Minutes of the Organization Meeting of Compassionate Care Centers of America Foundation, Inc. * Certificate of Good Standing issued by the New Jersey Secretary of State on February 10, 2011. The Certificate of Incorporation specifically states that Compassionate Care Centers of America Foundation, Inc. was formed as a non profit corporation under Title 15A of the New Jersey statutes and this is confirmed by the above-referenced Good Standing Certificate. Non profit status is also referenced in the following documents included in Appendix A: ‘* SS-4 issued by the Internal Revenue Service. © Affidavit of David Weisser, President prepared in conformance with N.J.S.A. 54:10A-3(e). The following document is also submitted to evidence adherence with proposed N.JLA‘C. 8:64-7.1(0)23. © Business Registration Certificate Confirmation #CN 313524986 dated 2/10/2011. CONFIDENTIAL AND, PROPRIETARYAPPENDIX A