Medical Marijuana Dispensary Permit Application - Pennsylvania ...

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Medical Marijuana Dispensary Permit Application

You may apply for one dispensary permit in this application for any of the medical marijuana regions listed below. A separate application must be submitted for each primary dispensary location sought by the applicant. Please see the Medical Marijuana Organization Permit Application Instructions for a table of the counties within each medical marijuana region and the counties in which you are eligible to locate your primary dispensary.

Please check to indicate the medical marijuana region, and specify the county, for which you are applying for a dispensary permit:

Northwest Southwest

X Northcentral Southcentral

Northeast Southeast

County 1 (Primary Dispensary Location): Lycoming County 2 (if applicable): Snyder County 3 (if applicable): Bradford

1 Updated February 1, 2017 ? See Guidance

Pennsylvania Department of Health Medical Marijuana Dispensary Permit Application

Medical Marijuana Dispensary Permit Application

Part A - Applicant Identification and Dispensary Information

(Scoring Method: Pass/Fail) FOR THIS PART, THE APPLICANT IS REQUIRED TO PROVIDE BACKGROUND AND CONTACT INFORMATION FOR THE BUSINESS OR INDIVIDUAL APPLYING FOR A DISPENSARY PERMIT, THE PRIMARY DISPENSARY LOCATION, ALONG WITH ANY SECOND OR THIRD DISPENSARY LOCATIONS THAT ARE BEING SOUGHT UNDER THE APPLICATION.

Section 1 ? Applicant Name, Address and Contact Information Business or Individual Name and Principal Address Business Name, as it appears on the applicant's certificate of incorporation, charter, bylaws, partnership agreement or other legal business formation documents:

BrightCare BioMedics LLC Other trade names and DBA (doing business as) names:

N/A

Business Address: 425 Spruce Street Ste. 200

City: Scranton

State: PA

Phone: 717-461-8295

Fax: N/A

Zip Code: 18501

DOH REDACTIO

Primary Contact, or Registered Agent for this Application

Name: Robert Vitale Address: DOH City: DOHREDACTION PhonRe:EDOH

REDACTION

State: D Fax: N/OA

Zip Code: DOH Email: REDA

DOH REDACTION

Section 2 ? Dispensary Information THE APPLICANT IS REQUIRED TO PROVIDE A PRIMARY DISPENSARY LOCATION. THE APPLICANT MAY INCLUDE A SECOND OR THIRD LOCATION UNDER THIS APPLICATION. A SECOND OR THIRD DISPENSARY MAY BE ADDED TO A DISPENSARY PERMIT AT A LATER DATE THROUGH THE FILING OF AN APPLICATION FOR ADDITIONAL DISPENSARY LOCATIONS.

By checking "Yes," you affirm that you possess the ability to obtain in an expeditious manner the right to use sufficient land, buildings and other premises and equipment to properly carry on the activity described in the medical marijuana dispensary permit application, and any proposed location for a dispensary.

Yes No

Primary Dispensary Location (please indicate dispensary name as you would like it to appear on the dispensary permit)

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Pennsylvania Department of Health Medical Marijuana Dispensary Permit Application

Facility Name: BrightCare Biomedics

Address: 151 John Brady Drive #3

City: Muncy

State: PA Zip Code: 17756

County: Lycoming

Municipality: Muncy

PLEASE PROVIDE A DESCRIPTION OF THE PUBLIC ACCESS TO THE DISPENSARY LOCATION, INCLUDING ANY LOCAL PUBLIC

TRANSPORTATION THAT MAY BE AVAILABLE:

The Muncy Township, Lycoming County, BrightCare Biomedics dispensary is located on a

River Valley Transit System route and is centrally located in Lycoming County. Lycoming

County also participates in the STEP program, offering on-demand transportation services for

residents of Lycoming and Clinton Counties, including door-to-door ride share services for

individuals on medical assistance, seniors citizens, and persons with disabilities. Uber, Lyft

and taxi services are available to this dispensary. Patients from all over the Williamsport

region, including Montoursville, Hughesville, Montgomery, Jersey Shore and Watsontown

will have convenient access to this dispensary because of its close proximity to major

highways like Route 15, Interstate 80, and Interstate 180. The facility is near the Lycoming

Mall and has its own parking lot providing ample parking including several handicapped

designated spots. Also, Lycoming Mall Drive is one of the most highly travel roads in the

region, based on local socioeconomic travel patterns being next to the only major Mall and

shopping district is critical to patient access as rural patient consumers and their caregivers

often travel to populated commercial and retail areas to access multiple resources.

The majority of people in Lycoming County and surrounding area travel to this popular shopping district for goods and services. The dispensary in Muncy Township will serve UPMC Susquehanna Muncy Valley Hospital, UPMC Divine Providence, UPMC Williamsport Regional Medical Center, as well as Family Practice Centers (FPC), a large family practice network in the region which maintains 30 outpatient primary care treatment centers. Since the UPMC merger with regional health care provider Susquehanna Health there has been a growth in specialized health care services for this community who previously required significant travel for specialized care. Aligning a dispensary within this budding health care hub will continue to drive care access and innovation within the greater Williamsport area and Lycoming County overall.

The population density within 10 miles of the Muncy Township dispensary is 87,604 and 187,380 within 20 miles and 357,962 within 30 miles. Moreover, this facility has a private rear entrance to allow for secure and private product deliveries and is not within 1,000 feet of any schools or daycares. Muncy Township is a superior location compared to others in Lycoming County because it is near all major highways and costs are substantially lower than in places like Williamsport where rents are double and in Loyalsock Township were rents are almost triple. BrightCare Biomedics successfully negotiated very favorable lease terms and will be able to immediately pass those savings onto the low income patient population of the region where many patients live at or near the poverty line. The region has been hit especially hard by the opioid crisis and by the massive loss of jobs due to the gas industry leaving. The need for alternatives to opioids is great and job opportunities are desperately needed.

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Pennsylvania Department of Health Medical Marijuana Dispensary Permit Application

Second Dispensary Location

Facility Name: BrightCare Biomedics

Address: 513 N. Market Street

City: Selingsgrove

State: PA Zip Code: 17870

County: Snyder

Municipality: Selinsgrove

PLEASE PROVIDE A DESCRIPTION OF THE PUBLIC ACCESS TO THE DISPENSARY LOCATION, INCLUDING ANY LOCAL PUBLIC

TRANSPORTATION THAT MAY BE AVAILABLE:

The Selinsgrove, Snyder County, BrightCare Biomedics dispensary location is in the heart of the Susquehanna River Valley in Central Pennsylvania. This dispensary is serviced by Rabbittransit as the Shared Ride Coordinator for Union and Snyder Counties. The program offers on-demand transportation services for residents of Union and Snyder Counties and beyond, including door-to-door ride share services for individuals on medical assistance, seniors citizens, and persons with disabilities. Patient healthcare consumers in this region are accustomed to traveling for healthcare and medications. This dispensary is located on the main street in Selinsgrove at the start of the "golden mile" retail and business district. Almost all major retail and service businesses call the golden mile home including the Susquehanna Valley Mall. This location is centrally located to all of the region and hosts Susquehanna University. Uber, Lyft and taxi services are also available in this area. The facility has its own parking lot providing ample parking including several handicapped designated spots and has a private rear garage door entrance to allow for secure and private product deliveries and is not within 1,000 feet of any schools or daycares. The population density within 10 miles of the Selinsgrove dispensary is 64,412, within 20 miles 198,121 and within 30 miles 387,940.

This dispensary is in close proximity to Geisinger Danville, Evangelical Hospital in Lewisburg, Shamokin Area Community Hospital, Sunbury Community Hospital as well as Family Practice Centers, a large family practice network in the region which maintains 30 outpatient primary care treatment centers. BrightCare Biomedics is committed to providing its medical marijuana products to every patient that suffers from a serious medical condition regardless if they are poor, elderly, disabled or live in a rural or isolated community. BrightCare has made the conscience decision to locate a dispensary in Selinsgrove to address the unique needs of this North Central Pennsylvania community created by the financial, socioeconomic and transportation challenges affecting these patient consumers while also serving as an access hub for patient consumers of some of the most highly specialized care centers in the state aligned with the Geisinger Health System.

BrightCare Biomedics Selinsgrove dispensary will serve patients suffering from serious medical conditions from Danville, Berwick, Sunbury, Bloomsburg, Shamokin, Shamokin Dam, Milton, Lewisburg, Northumberland, Middleburg, and Mifflinburg with access from Route's 11, 15 and Interstate 80. This area has been hit especially hard by the opioid crisis and need safer alternatives to opioids. In recognition of this, Selinsgrove Borough official's took the extra ordinary step of passed a Resolution to support SB 3, the bill that later became Act 16 of 2016. Selinsgrove has welcomed BrightCare Biomedics into the community with open arms and quickly amended their zoning ordinance to accommodate BrightCare's chosen location. Borough officials expressed their hope that BrightCare Biomedics selection of the Borough would promote other investment into the community. For example, BrightCare has

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Pennsylvania Department of Health Medical Marijuana Dispensary Permit Application

entered into a long term lease for the former state liquor store location and will work with its landlord to upgrade the aesthetics of this main street property. BrightCare Biomedics has been able to negotiated favorable lease terms and will be able to immediately pass those savings onto the significant low income patient population in the region

Third Dispensary Location Facility Name: BrightCare Biomedics

Address: 220 Ennis Lane, Space #3

City: Towanda

State: PA Zip Code: 18848

County: Bradford

Municipality: Towanda

PLEASE PROVIDE A DESCRIPTION OF THE PUBLIC ACCESS TO THE DISPENSARY LOCATION, INCLUDING ANY LOCAL PUBLIC TRANSPORTATION THAT MAY BE AVAILABLE:

The Towanda, Bradford County, BrightCare Biomedics dispensary location is in a rural community with public transit access provided by Bradford Tioga and Sullivan County transit authority. BeST serves the Endless Mountain region and offers both general public fixed routes and specialized door-to-door ride share services for Senior Citizens, persons with disabilities and Medical Assistance patients. The BrightCare dispensary is conveniently located on a daily BeST transportation route. Uber, Lyft and taxi services are also available in this area. Patient healthcare consumers in this region unfortunately are accustomed to traveling for healthcare and medications. This dispensary is located on the main artery in the region, Route 6, and is centrally located in the County seat of Bradford County. Patients suffering from serious medical conditions from Canton, Troy, Rome, Athens, Wyalusing, Dushore, Sullivan County, and Mansfield, Tioga County, will have easy access to this dispensary location. The facility has ample parking including several handicapped designated spots as well as a private rear garage door entrance to allow for secure and private product deliveries and is not within 1,000 feet of any schools or daycares.

BrightCare Biomedics dispensary will be able to serve patients from Towanda Memorial Hospital, Guthrie Robert Packer Hospital in Sayre and Guthrie Troy Community Hospital. BrightCare is committed to providing its medical marijuana products to every patient that suffers from a serious medical condition regardless if they are poor, elderly, disabled or live in a rural or isolated community. BrightCare Biomedics has made the conscience decision to locate a dispensary in Towanda to address the care desert in this rural North Central Pennsylvania community created by the financial, socioeconomic and transportation challenges affecting these patients. Access challenges are complicated by a patient community with limited specialized care access and multiple chronic diseases who typically have to travel and incur significant cost for specialized care. Based on local socioeconomic travel patterns locating in the only major shopping district in the region is critical to patient access as rural patient consumers and their caregivers often travel to populated commercial and retail areas to access multiple resources at once.

BrightCare shares the Bradford Towne Center with Rite Aid, Sears, K-Mart, Tops Grocery 5

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