Phase II Dispensary Applicant Information · 12/18/2018 · Phase II Dispensary Applicant...

Phase II Dispensary Applicant Information

of 180 December 18, 2018

REGION 1 – SOUTHEAST

Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email

D18-1001 Bloom Medicinals of PA, LLC

Limited Liability Company

127 NW 13th Street, Suite C13

Boca Raton FL 33432 561-620-3600 561-717-7122 [email protected]

Source: Application section 1 & 18

Dispensary Information Primary Name Primary County Second Name Second County Third Name Third County

Bloom Medicinals of PA, LLC Philadelphia

Source: Application section 2

Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Nicole Van Rensburg Owner/Operator American Imaging;

Midwest Compassion Center; Maryleaf CEO

William Hollander Owner/Operator American Imaging; Midwest Compassion Center; Maryleaf

Chief Operating Officer

Nate Hollander Owner/Operator American Imaging; Midwest Compassion Center

President

Karen Hollander Owner/Operator American Imaging; Maryleaf

Chief Compliance Officer





D18-1002 Main Line Pure Care, LLC


30 South 15th Street Floor 15 Philadelphia PA 19102



Main Line Pure Care LLC Montgomery


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Lester Hollis Entrepreneur CEO Michael Malloy Jr. Lawyer Chief Compliance Officer Wen Chau CEO/Restauranteur CFO Patricia Mantelmacher Retail Manager Principal





D18-1003 Restore Integrative Wellness Center LLC


812 North Easton Road, Unit 6

Doylestown PA 18902 (843) 602-0395 [email protected]



Restore Integrative Wellness Center LLC Bucks


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business

Anna O Pharmacist. Clinical Advisor for Reboot Integrative Wellness Center, LLC. Phase 1 Permitee

Co-Chief Executive Officer, Pharmacist, Korean Interpreter

Steve K. O Owner / Operator of Reboot Integrative Wellness Center, Physical Therapist, Accupuncturist. Phase 1 Permitee

Co-Chief Operating Officer

Vipul Patel Owner of RVP Investments, LLC. Phase 1 Permitee

Co-Chief Operating Officer, Director of Human Resources, Recall Coordinator, Managing Member

Rupangi Patel Owner of Hanuman Investments, Inc. Phase 1 Permitee Co-Chief Executive Officer, Inventory Manager

Dipak M. Thakrar Owner of DT Global Consulting, Ltd. Phase 1 Permitee Co-Chief Financial Officer, Capital Investor

Rachana Thakrar Owner of R&S Manchester, Ltd. Phase 1 Permitee Co-Chief Financial Officer

Christopher D’Amico Security Specialist Chief Security Officer Dimple Thakrar Media Relations Chief Officer of Media Relations





D18-1004 Agri-Kind LLC Limited Liability Company

511 Anthonys Drive Exton PA 19341 (610) 656-8083 [email protected]



Agri-Kind LLC Delaware


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Jon Cohn Occupationally Disabled Consultant/Entrepenour CEO/COO Craig McHugh Podiatrist/Ambulatory Care Center Owner Director Product Development Kumar Bhargava Drug Development Director Merck / Business Development Chief Research Officer Rebekah Watson Pharmacist/Medical Information Manager Director of Outreach and Care Scott Zukin Real Estate Developer Community Development Director Tejas (TJ) Ajmeri Finance – Innovative Hospitality Management CFO





D18-1005 Pennsylvania Dispensary Solutions LLC


207 South 9th St Minneapolis MN 55402 612-999-1606 [email protected]



Pennsylvania Dispensary Solutions – Region 1 Montgomery


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Kyle Eugene Kingsley MD Physician CEO Aaron Michael Hoffnung CEO, Vireo Health of New York COO Amber Holly Shimpa CFO CFO Stephen Michael Dahmer MD Physician CMO Eric A. Greenbaum Chief Science Officer Chief Science Officer Jennifer Lee Duey Chief Compliance Officer and Security Director Chief Compliance Officer and Security Director





D18-1006 Serene Green LLC Limited Liability Company

2016 Old Welsh Road Abington PA 19001 215-696-0231 [email protected]



Serene Green Montgomery


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Stephanie Mantelmacher Business Executive Chief Executive Officer Angela D’Amico Medical Marijuana Dispensary Operator Chief Operating Officer Jennifer Marie Dott Underwriter Inventory Control Director John H. Marks M.D. Chief of Colorectal Surgery Medical Director Mark Everitt Ret. Police Captain Security Officer Nathan Connolly Regional Sales Manager Chief Financial Officer Joshauna Nichole Herbert IT Professional Director of IT





D18-1007 Cresco Yeltrah, LLC Limited Liability Company

150 Timberline Lane Butler PA 16001 724-712-0705 [email protected]



Berks County Dispensary Facility Berks


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Charlie Ian Bachtell Attorney/CEO CCO Brian McCormack Founder / Cresco Principal Robert Sampson COO / Cresco Executive VP of Grow/Processing Operations Dominic Sergi CEO / Clear Height Properties Principal Joseph Caltabiano Business Development Director Business Development Director David Michael Hartley CEO / President CFO David Kent Hartley Business Manager CEO Michael Trent Hartley Founder / Palmetto Research COO LeAnn Hartley Advocate/Homemaker Principal Karen Jane Hartley Retired Principal Allison Adleman Owner / Unlimited Staffing Principal Nicole Leah Burton Teacher Principal Kayvan Khalatbari Founder / Denver Relief Consulting Executive VP of Dispensary Operations





D18-1008 The Natural Dispensary, LLC


973 E. Swedesford Road Malvern PA 19355 330-338-9130 610-577-2897 [email protected]



Natura Path Montgomery


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Rakesh M Patel Entrepreneur Director of Business Operations Rajendra Singh Pharmacist Senior Director Finance and Business Development Sonali Patel Pharmacist General Manager Maryam C Layne Retired Veteran Director of Human Resources Jack P Layne Township Manager Director of Diversity, Inclusion and Community Relations Dante Joseph Bradley Attorney General Counsel Thuanh A Tran Pharmacist Lead Pharmacist and Diversion & Compliance Manager





D18-1009 Health For Life Pennsylvania, LLC


815 N Orianna Street, #A Philadelphia PA 19123 724-856-0323 [email protected]



Health for Life Delaware


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Elizabeth Stavola Operations Owner/CEO/Financial Backer Tenisha Williams Community Outreach VP Julie Winter General Manager - Dispensary COO Jason Gully COO Operations Director Rose Schultz Assistant Manager Director of Inventory Management Krishna Singh Nuclear Scientist Chairman of the Board of Directors Leo Marcel Bridgewater LMR Technician Director of Community Outreach and Veteran Relations Tenisha Kerra Victor Project Manager Victor Madril Marketing Director Kyle Aaron Renz Patient Consultant Kristen Shaunte Dade-Simms HR admin Trisha Scott Chris Wendell Collins Director Miles Douglas Thompson Assistant project scientist Kimberly Wagner Dispensary Manager Ashli Gaulette Nurse Caroline Clark Retired Captain Saleha Qamer Awan Finance Associate





D18-1010 Serene Green LLC Limited Liability Company

2016 Old Welsh Road Abington PA 19001 215-696-0231 [email protected]



Serene Green Lancaster


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Stephanie Mantelmacher Business Executive Chief Executive Officer Angela D’Amico Medical Marijuana Dispensary Operator Chief Operating Officer Jennifer Marie Dott Underwriter Inventory Control Director John H. Marks M.D. Chief of Colorectal Surgery Medical Director Mark Everitt Ret. Police Captain Security Officer Nathan Connolly Regional Sales Manager Chief Financial Officer Joshauna Nichole Herbert IT Professional Director of IT Hector A. Rivera Jr. CDL Concrete Driver/Batch Operator Transportation Director Tara Flowers Marketing Professional Marketing Director Shanita Penny Cannabis Industry Consultant Diversity Director Mirella Spaventa Deisher Occupational Therapist Clinical Director Gerald Joseph Cronin Jr. Disabled Community Outreach Director Jason Liszewski Human Resources Director of Human Resource Christina L. Casile Designer Director of Sales Justin Moriconi Attorney Co-General Counsel Theodore C. Flowers Attorney Co-General Counsel

Nicole R. Stermer Administrative Assistant / Sales Asst. Sales Director / Asst. Community Outreach Director





D18-1011 31 State Street, LLC Limited Liability Company

31 S. State Street Newtown Pa 18940 215-880-8300 [email protected]



Medical Pharmacy Bucks


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business William Charles Weiss, Jr. Mr. Owner/ Broker Commercial Real Estate Firm. President Ann Caroline Weiss Mrs Associate Broker Associate Broker





D18-1012 Brandywine Valley Patient Care LLC


790 Baltimore Pike, Unit 3

Concordville PA 19331 302-893-9288 610-268-5682 [email protected]



Brandywine Valley Patient Care LLC Delaware


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Charles Aloysius McCormick Pharmacist, Self-employed business owner President William Joseph McCormick Self-employed business owner Chief Operating Office Sharon Kay McCormick Registered Nurse Patient Intake Director Denise Jenny McCormick Self Employed Business Owner, Former Registered Nurse Community Outreach Director Albert Francis Carter Self Employed Business Owner Financial Backer David Geiger Self Employed Business Owner Financial Backer





D18-1013 PA Holistic Health and Wellness Center

S-Corporation 5935 Hutchinson Street Philadelphia PA 19141 215.768.3616 [email protected]



PA Holistic Health & Wellness Center Delaware


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business J Darrell Carrington Managing Director CEO Karen M Ibach Attorney Legal & Chief Compliance Officer Janis Larkin Holloway Business Owner Chief Marketing Officer Racquel Alise Cedeno Business Owner Director Community Outreach Ty McGilberry Financial Advisor Chief Financial Officer Michael Richard Cloud IT Sales Manager Chief Information Technology Officer Stephen G Katsarakes Licensed Pharmacist Chief of Pharmacy Science





D18-1014 PA Natural Medicine, LLC


1801 Market Street Suite 2300 19103

Philadelphia PA 19103 480-471-8860 [email protected]



PA Natural Medicine Philadelphia


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Mark Steven Steinmetz Principal President Anthony Joseph DePaul Principal CEO Austin Andrew Meehan Principal Chairman Jigarkumar P Patel Principal V. President Sweta N Patel Pharmacist Dir. Pharm Kimberly M Steinmetz Treasurer Treasurer




APPLICATION ID NUMBER D18-1015 NOT ASSIGNED.




D18-1016 Grow Ventures Penn, LLC


1261 West Chester Pike West Chester PA 19382 (301) 807-0733 (717) 236-4841 [email protected]



Greenhouse Wellness Chester


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Gina LeDonne Dubbe’ CEO – Greenhouse Wellness CEO Leslie Anne Apgar Physician Medical Dir.





D18-1017 Keystone Green MMJ LLC


1303 Pleasant Hill Road Fleetwood PA 19522 610-390-1919 610-916-8893 [email protected]



Keystone Green MMJ LLC Berks


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Patricia A Hessinger Educator Chairwoman Geoffrey W Whaling Chief Executive Manager Erica L McBride Executive Director Executive Manager, VP Administration





D18-1018 TerraVida Holistic Centers LLC.


1630 Old York Road Abington PA 19001 215-836-1535 [email protected]



TerraVida Holistic Centers Delaware


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Adina Esther Birnbaum Business Owner CEO Chris Joanne Visco Business Owner President Valentin Theodore Gorski CFO CFO Richard Lester Business Owner Investor Shari Gail Lazarus Retired Investor Amy Peiken Palmer Mother Investor Jeffrey Kaliner Business Owner Investor





D18-1019 Franklin BioScience - SE, LLC


1320 Rose Road Abington PA 19001 303-725-1876 [email protected]



BEYOND / HELLO Delaware BEYOND / HELLO Philadelphia


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Blythe Lynne Huestis President President, Operator Robert Pearson Roche Jr. President Chief Experience Officer, Principal, Operator Andrew Michael Weiss Real Estate Developer/Investor Chief Executive Officer, Principal, Operator Cyrus Parviz Farudi Entreprenuer Chief Strategy Officer Robert Eugene Pease Chief Financial Officer Chief Financial Officer, Principal, Operator Patricia Ann Haley Program Director Co-Director of Security, Operator Robert Steve Stoud Law Enforcement Co-Director of Security, Operator Kevin Douglas Patrick VP/CFO Diversity Committee, Principal, Operator John M Dischert Pharmacist Southeast Regional Manager, Operator Amanda Lynn DeCotes Pharmacist Co-Director of Pharmacy, Operator

Michele Catalano-Musheno Pharmacist Northeast Regional Manager, Operator

Faisal Mohammed Faseehuddin CPA Director of Finance and Accounting, Operator Helena C Yardley Scientist Director of Science and Research, Operator Myra Jurhee Zerr Practitioner Outreach Director of Physician Outreach & Education, Operator

Richard Eric Austin Program Director Community Liaison to Law Enforcement and Safety Officials,

Katherine Elizabeth Galuzzi Physician Chief Medical



First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business

Robert N. Nix III Attorney, CEO Director of Diversity and Inclusion and Chairman of Diversity Committee, Principal, Operator

Carrie Anne Muchow Psychology Academic and Consultant

Director of Diversity Strategy (Diversity Committee), Operator

William R. Sasso Attorney General Counsel, Jack D. Korbutov Compounding Pharmacist Director of Pharmacy, Principal, Operator Malik Majeed President, CEO, General Counsel Director of Facilities, Principal, Operator

Jonathan J Fernandez Chief Commercial Officer, Franklin Director of

Kimberly Anna Stuck Founder, Cannabis Consulting Director of Compliance, Operator Edward Joseph Hazzouri Attorney, Lobbyist Director of Government Relations, Principal, Operator Mita Heble Pharmacist Co-Director of Elise Robinson Pizzi Gerontological Nurse Practitioner Director of Patient Affairs, Principal, Operator Jean B. Clifton CFO, COO Director of Finance, Principal, Operator Beth Baughman DuPree Physician Director of Philanthropy, Principal, Operator John N. Wozniak Public Servant Director of Public Strategy, Southwest, Operator

Raymond Angeli President and COO Director of Community Affairs and Chairman of Academic/Research Partnerships, Principal, Operator

Michael L. Levin Physician Co-Chair Medical Advisory Board, Principal, Operator Daniel J. Lebovic Physician Member of Medical Advisory Board, Financial Backer Alexander Joseph Hazzouri President, CEO Director of Public Strategy, Northeast, Operator





D18-1020 Harvest of Southeast PA, LLC


627 S. 48th St. Suite 100 Tempe AZ 85281 480-494-2261 [email protected]



Harvest Berks


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Valetta Rae Stewart Command Sergeant Major President Gary Lee Pinkston Self-Employed Financial Backer Steve Matthew White Harvest CEO CEO Christopher David Hewitt Harvest COO COO Edelmiro Gonzalez Harvest CFO CFO Liesl Michele Sicz Harvest Director of Retail Operations Director of Retail Operations William Duffy Troutt Harvest Director of Medical Education Director of Medical Education Siobahn Elizabeth Carragher Harvest Director of Human Resources Director of Human Resources Matthew Daniel DiDonato Harvest Director of Research and Evaluation Director of Research and Evaluation Paul David Nowak Harvest Director of New Development Director of New Development Timothy James Buskirk Harvest Safety and Security Compliance Director Safety and Security Compliance Director





D18-1021 Alliance Medical Holdings, Inc.

C-Corporation 1021 Old York Road, Suite 300

Abington PA 19001 215-706-0873 x116 215-706-0877 [email protected]



The Green Solution Philadelphia


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Barbie Spear COO, Alliance Holdings CEO Gilbert Lee Director of Acquisitions, Alliance Holdings CFO Kenneth Wanko President & CEO, Alliance Holdings COO Orlando Lam Associate, Alliance Holdings Finance & Operations Associate Kathleen Rosenello Controller, Alliance Holdings Controller Anita DiPaul Administrative Assistant, Alliance Holdings Administrative Assistant





D18-1022 Tribe Penn, LLC Limited Liability Company

627 Patriot Lane Phoenixville PA 19460 845-803-1753 [email protected]



Tribe Penn, LLC Lancaster


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business James Joseph Gillece Jr. Prinicipal at Geese Holdings Chairman Corey Lavon Barnette Founder & Chief Executive Officer of District Growers Chief Executive Officer Gregory Malik Burnett MD, MBA, MPH Physician Chief Operating Officer Robert Karl Kurz Chief Investment Officer at Tribe Companies, LLC Chief Investment Officer





D18-1023 PharmaCann Penn LLC


1735 Market St, Ste A #440 Philadelphia PA 19103-

7501 708.919.5641 [email protected]



PharmaCann Penn LLC Delaware


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Teddy Scott Business Executive Chief Executive Officer Stephen Schuler Private Equity Executive Executive Director and Investor





D18-1024 Penn’s Greens, LLC Limited Liability Company

17 E. Gay St., Suite 100 West Chester PA 19380 888-220-4853 [email protected]



Penn Harbor Compassion Center Montgomery


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Kristin Elizabeth Schultz Qualitative Research Director Director of Patient & Community Engagement Maret Rose Schultz Manager, Health & Safety Services Director of Safety & Compliance Beth Ann Collins Community Volunteer & Advocate Customer Service Manager (Principal)

Peter Nicholas Crognale

President/Owner – Folsom Tool and Mold Co. Inc.; President/Owner – Media Aero Distributors Corp; President/Owner – CCP Family Partnership

Chief Operating Officer

Charles Edward Peterson Owner/Operator & Principal Agent – Peterson Insurance Services, Inc. Director of Retail Operations

Mark Stephen Lally Chief Executive Officer Chief Executive Officer

Stephen John Olsen Partner, Gawthrop Greenwood (Attorney) Chief Compliance Officer & Counsel

Kurt Eric Dinkelacker Chief Financial Officer & Executive Vice President – Aptuit Holdings, LLC Chief Financial Officer





D18-1025 Alternative Care Rx, LLC Limited Liability Partnership

776 Parkes Run Lane Villanova PA 19085 610-357-3709 610-545-6033 [email protected]



ACRx Philadelphia ACRx Chester


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Michelle A. Karalis RPh Pharmacist/Executive Managing Member/CEO Virginia A. Markos RPh Pharmacist Member/COO Catherine Avgiris Consulant CFO Abby Huang MD Physician Board member Stephen Seiden PharmD Pharmacist- Pharm D. Chief Clinical Officer





D18-1026 NSE Pennsylvania LLC Limited Liability Company

200 Dryden Rd.Suite 2000 Dresher PA 19025 215-938-8024 [email protected]



NSE Pennsylvania Montgomery


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Wendy Toll Topkis Attorney CFO Chris Visco Disp. Manager CEO









NSE Pennsylvania Berks


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Wendy Topkis Attorney CFO Chris Visco Disp. Manager CEO





D18-1028 MLH Explorations, LLC


308 E. Lancaster Ave. Suite 300

Wynnewood PA 19096 610-896-2050 610-862-3917 [email protected]



Solterra Care - Locust Street Philadelphia



William Landman Principal, Mainline Investment Company

Financial Backer, Principal (Board member of MLH Holdings, LLC a parent entity of MLH Explorations, LLC)

Jeff Cook Chief Financial Officer, Pepsi and National Brand Beverages, Ltd.

Principal (Board member of MLH Holdings, LLC a parent entity of MLH Explorations, LLC)

James Connolly General Management Chief Executive Officer (CEO)

Albert Parker Attorney General Counsel & Chief Compliance Officer (CCO)

Brooke Worster Physician/Assistant Professor of Medicine/Program Director; Palliative Care Service Department of Family & Community Medicine, Jefferson University Hospital

Chief Medical Officer (CMO)

Mark Scialdone Principal; Ph.D Chemistry Chief Science Officer (CSO)

Robert Gorovitz Accountant Financial backer, Principal (Board member of MLH Holdings, LLC a parent entity of MLH Explorations, LLC)





D18-1029 STARS NATURAL HEALING, LLC


505 WHITPAIN HILLS BLUE BELL PA 19422 (610) 574-3906 [email protected]



STARS NATURAL HEALING Berks


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Shaffron A. Bumpas Account Executive CEO Mynetta Jedele Edwards Accountant CFO Alison Marie Johnson-Andrews SR. CLINICAL DATA MANAGER CCO Sanorra Lee Payne DIRECTOR OF ECE COO Tiffany A. Mcintyre CONSULTANT AND UNDERWRITER III COMMUNITY RELATIONS





D18-1030 CWAZ Industries, LLC


1126 Main Street Evanston Illinois 60202 773-793-3829 270-897-2283 [email protected]



CommonHealth – Fish Town Philadelphia



Zachary Charles Zises President and Chief Compliance Officer at Dispensary33, President at Pheno33 Chief Operating Officer

David Michael Neundorfer Chief Executive Officer at Linestream Technologies Chief Executive Officer

Oscar Samuel Hackett Chief Financial Officer & General Counsel at Rustic Pathways Chief Compliance Officer

Frederick Richelieu Reeves Jr. Pharmacist at Millington Pharmacy Head Pharmacist Martha Ellen Hackett Family Physician and CEO of Wellness Center Chief Medical Officer Don Edward Brinberg Gastroenterologist and CEO of Clinical Research Lab Chief Research Officer Thomas Joseph Lekan President of Thomas J. Lekan Security Consulting Chief Inventory Officer Robert Curtis Tarro Lieutenant at Parma Police Department Chief Security Officer Paul Lee General Manager at Dispensary33 Chief Product Officer Kristie Bunty Zises Chief Financial Officer at Dispensary33 Chief Financial Officer Julia Marie Maurer President of SilverLine Consulting Director of Human Resources Daniel Bennett Peck Chief Executive Officer at Filevault Director of Information Technology

Engdawork Admasu Engda Scientist of Analytical Chemistry at Olon Ricerca Bioscience Director of Extraction

John Robert De Carrier Owner of multiple McDonald's locations Director of Diversity

Hyun Wook Pak Medical Marijuana Operations Consultant at Bedford Grow, Operations Consultant at Pheno33

Director of Cultivation, Extraction Manager




Catherine Lynn Ols Community Liaison at Greenleaf Director of Community Engagement and Patient Services

Kenneth Phillip Wulff Product Development Consultant for Nestle OSHA Specialist

Jonathan Robert Nelson Agronomy Consultant at Sustainable Plant Solutions, Assistant Superintendent at Fairlawn Country Club

Agronomist





D18-1031 Snider Health LLC Limited Liability Company

PO Box 25088 Philadelphia PA 19147 610-662-3846 610-645-5324 [email protected]



Snider Health Berks


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Lindy Lou Snider Business Executive CEO/Financial Backer Jamie Scott Snider Business Executive COO Jay Thomas Snider Business Executive President Hosea H Harvey III Law Professor Director of Compliance Labaron A Palmer Doctoral Candidate Director of Inclusion and Community Engagement Michael Christopher Smikovecus Pharmacist Director of Dispensary Operations Scott A Young Operations Manager for Crothall

Healthcare Outreach Director

Susan Schrand Nurse Practitioner Medical Director / Employee Jacquelyn Linton Human Resources Executive Human Resources Director / Employee Erin Bettine Consultant Director of Quality Control & Inventory / Employee





D18-1032 CB Health Services, LLC


430 Greenwood Avenue Glencoe Illinois 60022 847-835-1711 [email protected]



CB Health Services Montgomery


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Carl Boyar Entrepreneur / Physician Chief Executive Officer









Snider Health Philadelphia


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Lindy Lou Snider Business Executive CEO/Financial Backer Jamie Scott Snider Business Executive COO Jay Thomas Snider Business Executive President Hosea H Harvey III Law Professor Director of Compliance Labaron A Palmer Doctoral Candidate Director of Inclusion and Community Engagement Michael Christopher Smikovecus Pharmacist Director of Dispensary Operations Scott A Young Operations Manager for Crothall Healthcare Outreach Director Susan Schrand Nurse Practitioner Medical Director / Employee Jacquelyn Linton Human Resources Executive Human Resources Director / Employee

Erin Bettine Consultant Director of Quality Control & Inventory / Employee









NSE Pennsylvania Philadelphia


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Wendy Toll Topkis Attorney CFO Chris Visco Disp. Manager CEO









Snider Health Delaware


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Lindy Lou Snider Business Executive CEO/Financial Backer Jamie Scott Snider Business Executive COO Jay Thomas Snider Business Executive President Hosea H Harvey III Law Professor Director of Compliance Labaron A Palmer Doctoral Candidate Director of Inclusion and Community Engagement Michael Christopher Smikovecus Pharmacist Director of Dispensary Operations

Scott A Young Operations Manager for Crothall Healthcare Outreach Director

Susan Schrand Nurse Practitioner Medical Director / Employee Jacquelyn Linton Human Resources Executive Human Resources Director / Employee Erin Bettine Consultant Director of Quality Control & Inventory / Employee





D18-1036 Mothers Comfort LLC


5699 Covered Bridge Circle Orefield PA 18069 267-218-1779 [email protected]



Mothers Comfort Bucks Mothers Comfort Montgomery


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Kirsten Knutson CEO & Founder of Hello People Ops General Manager Varsha Patel Store Manager & Owner of Exxon Gas Stations Inventory and Quality Assurance Manager Bela Patel Store Manager & Owner of Dunkin Donuts Store Manager Sonia Palatty Registered Nurse Patient Consultant Sapna Shah Pharmaceutical Research Director of Business Development Shiddharth Patel Pharmacist Medical Director Hiteshree Patel Occupational Therapist Patient Consultant Scott Greene Pharmacist & Professor of Pharmacy President Ankit Patel Financial Analyst Controller Cathleen Youn Cortese General Manager Vice-President





D18-1037

National Black Leadership Initiative on Cancer, Greater Philadelphia Chapter, Inc

Non-Profit Organization

1415 N. Broad Street Suite 221B

Philadelphia PA 19122 267-639-3057

267-639-3069

[email protected]



NBLIC Chester City Cancer Beaters Dispensary Delaware


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Lawrence Robinson Physician Chairman of the Board Ernestine Delmoor Health Community Educator President Ralph Easley Technology Management Consultant Treasurer Cora Mucgurdy-Hudson Secretary





D18-1038 Chroniceuticals, LLC Limited Liability Company

35 Shady Grove Circle Doylestown Pennsylvania 18901 484-802-0915 HarryCiaccio@Global

BrandsGroup.com


Dispensary Information Primary Name Primary County Second Name Second County Third Name Third County Chroniceuticals, LLC Montgomery County Dispensary Montgomery Chroniceuticals, LLC Bucks

County Dispensary Bucks


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Harry Michael Ciaccio Executive – Fishman & Tobin Apparel CEO

Oscar Palmer Vance Jr. Owner and President of Vance Investigations and Corporate Solutions, Inc. Chief Security Officer (CSO)

Nicole Marie Ciaccio Real Estate Agent COO Source: Application section 20




D18-1039 Chroniceuticals, LLC Limited Liability Company

35 Shady Grove Circle Doylestown Pennsylvania 18901 484-802-0915 HarryCiaccio@Global

BrandsGroup.com


Dispensary Information Primary Name Primary County Second Name Second County Third Name Third County Chroniceuticals, LLC Bucks County Dispensary Bucks Chroniceuticals, LLC

Montgomery County Dispensary Montgomery


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Harry Michael Ciaccio Executive – Fishman & Tobin Apparel CEO

Oscar Palmer Vance Jr. Owner and President of Vance Investigations and Corporate Solutions, Inc. Chief Security Officer (CSO)

Nicole Marie Ciaccio Real Estate Agent COO Source: Application section 20




D18-1040 Quaker State Wellness LLC


12 Huston Road Oakmont PA 15139 412-828-0459 412-921-3396 [email protected]



MedLeaf Delaware


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Michael Hudock III Attorney CEO Justin Timothy Henderson Business Owner/Real Estate Developer COO Bruce B Weiner Entrepreneur / Investor Financial Backer Betty Blemahdoo Retired Owner/Principal/Member Corey E Hudock Inventory Clerk Owner/Principal/Member Ben Kpakpo Blemahdoo Supervisor Operator Cheryl A Primonato GM of MedLeaf MD GM of MedLeaf PA Stephen David Shadid Pharmacist Clinical Dir. Grace Perry Noe Consultant Operator Mary Margaret Tese Consultant Operator





D18-1041 Agape Total Health Care, INC C-Corporation PO Box 412 Macungie PA 18062 484.225.4668 610.465.9646 [email protected]



Agape Total Health Care Berks Agape Total Health Care Schuylkill


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Russell Kuchta President/CEO Thomas Huzela Realtor Chief Construction Officer





D18-1042 ORGANIC OPTIONS LLC


1301 LINDLEY AVENUE PHILADELPHIA PA 19141 267-495-7914 267-297-5783 [email protected]



ORGANIC OPTIONS PHILADELPHIA


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Irin Ann Samuel PROJECT MANAGER / BUSINESS OWNER EXECUTIVE DIRECTOR John P Raju PHARMACIST/ BUSINESS OWNER DIRECTOR OF OPERATIONS Marc Andrew Schiavoni PHARMACY MANAGER CHIEF OPERATIONS OFFICER Andrew Duy Minh Tran PHARMACY MANAGER PHARMACY MANAGER Anoop V George RESPIRATORY SUPERVISOR DIRECTOR OF INVENTORY AND QUALITY CONTROL Jay R Dave CLINICAL PHARMACIST DIRECTOR OF BUSINESS DEVELOPMENT Digvesh Kumar G Patel SPECIALTY PHARMACIST DIRECTOR OF DISPENSARY TRISHA DIPAM PATEL HOUSING COORDINATOR ACCOUNTING CLERK Megha Patel PATIENT CARE PHARMACIST III DIRECTOR OF CLINICAL AFFAIRS/COMPLIANCE Naveen George Vipin GLOBAL HEAD OF ANALYTICS DIRECTOR OF IT & MARKETING Thuy Quyen Thi Nguyen SENIOR POLICY ANALYST DIRECTOR OF COMMUNITY AFFAIRS Daisy Joy George ONCOLOGY REGISTERED NURSE DIRECTOR OF CLINICAL RESEARCH Joy George Palackalody DIRECTORY OF SECURITY DIRECTOR OF SECURITY





D18-1043 Burmans Compassionate Care LLC


34 Dunminning Road

Newtown Square PA 19073 2672106369 2157544271 [email protected]



Burmans Compassionate Care LLC Delaware


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Steven Leonard Burman RPh Pharmacist Financial Backer Natalie Rachael Burman PharmD Pharmacist Communicator Owner Deborah M McCarthy RPh Pharmacist Owner Kathryn Victoria Battista Director of Contracting Owner, Principal Robin C Greene-Toler Sales Account Manager Owner Thomas James Perko Chief Operations Officer Owner





D18-1044 GTI Pennsylvania, LLC Limited Liability Company

325 W. Huron Street, Suite 412 Chicago IL 60654 312-282-4281 [email protected]



RISE Chadds Ford Delaware


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Peter Albert Kadens Executive CEO Benjamin Kovler Executive Chairman Anthony Valentino Georgiadis Executive CFO Timothy James Hawkins Executive President Eugene Christopher Green-Monroe Executive Board Member/Chief Diversity + Outreach Officer Jack Dean McCue Physician Board Member/Chief Medical Officer Dina Gorodess Rollman Attorney Chief Compliance Officer Terrance William Gainer Security Consultant Chief Security Officer Wendy Alison Berger Shapiro Real Estate Developer Board Member Jennifer Lynne Dooley Executive VP of Marketing Kyle Christian Wortham Executive EVP of Strategy + Branding Mathew Everett Faulkner Accountant Senior VP of Accounting





D18-1045 Nature’s Care & Wellness of Pennsylvania, LLC


1500 Chester Pike Folcroft PA 19032 443-677-7495 [email protected]



Nature’s Care & Wellness of Pennsylvania, LLC Delaware



Robert Lee Windsor Managing Member, Nature’s Care & Wellness, LLC (MD); Branch Manager, Nationwide Equities Corporation Managing Member / CEO

Maria Frizelle Roberts President & CEO: MFR Consultants, Inc. Principal / Consultant Victoria Michelle Robinson Principal Principal / CCO

Linda Lee Condon Dispensary Director, Nature’s Care & Wellness, LLC (Maryland); RN Principal; Regional Director / COO





D18-1046 Serenity HealthCare PA LLC


1801 Market St Suite 2300 Philadelphia PA 19103 215-219-8543 [email protected]



Chester County Nirvana Dispensary Chester












Newport Nirvana Dispensary Lancaster


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Ihasan Ullah Medical Marijuana Business Operator CEO Sheraz Ahmad Warraich Medical Marijuana Business Operator CFO Nighat Naseem Ullah Medical Marijuana Business Operator Sarah Michelle Warraich Medical Marijuana Business Operator COO Huma Ihsan Ullah Medical Marijuana Business Operator CMO Pedro J Sotomayor Medical Marijuana Licensing & Compliance Consultant Director of Marketing Paula Givens Medical Marijuana Licensing & Compliance Attorney/Consultant Director of Compliance










Fishtown Nirvana Dispensary Philadelphia


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Ihasan Ullah Medical Marijuana Business Operator CEO Sheraz Ahmad Warraich Medical Marijuana Business Operator CFO Nighat Naseem Ullah Medical Marijuana Business Operator Sarah Michelle Warraich Medical Marijuana Business Operator COO Huma Ihsan Ullah Medical Marijuana Business Operator CMO Pedro J Sotomayor Medical Marijuana Licensing & Compliance Consultant Director of Marketing Paula Givens Medical Marijuana Licensing & Compliance Attorney/Consultant Director of Compliance





D18-1049 Curacell LLC Limited Liability Company

25535 Briar Drive Oak Park Michigan 48237 314-229-5638 [email protected]



Curacell Reading Facility Berks


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Pedro J Sotomayor Medical Marijuana Licensing and Compliance Consultant Director of Marketing Paula Beth Givens Attorney CEO Ricki Lee Rebeiro Medical Marijuana Licensing and Compliance Consultant Director of Sales Layle Odette McFatridge Cannabis Industry Consultant & Technical Writer Director of Retail Operations Benjamin Khanbaba Bakhshi Real Estate Investment Manager Facilities Manager Frederick L Wood Agricultural Business Owner COO Moshe Avisar Diamond Wholesaler Investor/Advisor










Mahanoy Nirvana Dispensary Schuylkill


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Ihasan Ullah Medical Marijuana Business Operator CEO Sheraz Ahmad Warraich Medical Marijuana Business Operator CFO Nighat Naseem Ullah Medical Marijuana Business Operator Sarah Michelle Warraich Medical Marijuana Business Operator COO Huma Ihsan Ullah Medical Marijuana Business Operator CMO Pedro J Sotomayor Medical Marijuana Licensing & Compliance Consultant Director of Marketing

Paula Givens Medical Marijuana Licensing & Compliance Attorney/Consultant Director of Compliance





D18-1051 KSEP LLC Limited Liability Company

3100 North 17th Street Philadelphia PA 19132 [email protected]



Philagrow Philadelphia Philagrow Chester



Tara Higgins Gupta Medical Writer Chief Executive Officer, Board of Managers, Financial Backer, Principal

Jed Matthew Ryan Management Consulting Financial Backer, Principal, Operator, Chief Operating Officer

Seth James Goldenberg Healthcare Consultant Chief Compliance Officer

Mina Mishrikey Management Consulting Chief Financial Officer, Financial Backer, Principal, Board of Managers

Danielle Gureghian Attorney Principal, Board of Managers Tamara Schuster Principal, Board of Managers Christian S. Dunbar Deputy City Treasurer Financial Backer, Principal, Board of Managers Jacob Der Hagopian Jr. President of Education Mgmt. Org. Financial Backer, Principal, Board of Managers Adam Samuel Zaken Real Estate Development Financial Backer, Principal, Board of Managers

Meng Guo Costumer Experience and Analytics Financial Backer, Principal, Board of Managers, Director of Marketing and Communications

Elizabeth Anne McComas Mother Financial Backer, Principal, Board of Managers Source: Application section 20



REGION 2 – NORTHEAST Business Information

ID Number Name Org Type Address City State Zip Code Phone Fax Email

D18-2001 Locust Hills, LLC Limited Liability Company

60 W. Broad Street, Ste. 102 Bethlehem PA 18018 610-691-7900 610-691-1712 [email protected]



Allentown Lehigh


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Trisha Beth de Beer Chief Operating Officer Officer Abraham Zegeye Chief Executive Officer/Manager Officer





D18-2002 Transforming Health Care

Limited Liability Company 132 S. Main Street Taylor PA 18517 833-842-7366 [email protected]



Transforming Health Care Lackawanna


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Lisa Florence Tomcykoski Pharmacist CEO Sajal Kumar Roy Pharmacist COO Ann Marie Morreale-LaFoca Social Worker VP of Sales







127 NW 13th Street, Suite C13 Boca Raton FL 33432 561-620-3600 561-717-7122 Nicole@midwest

compassion.org



Bloom Medicinals of PA, LLC Luzerne



Nicole Van Rensburg Owner/Operator American Imaging; Midwest Compassion Center; Maryleaf CEO

William Hollander Owner/Operator American Imaging; Midwest Compassion Center; Maryleaf Chief Operating Officer

Nate Hollander Owner/Operator American Imaging; Midwest Compassion Center President

Karen Hollander Owner/Operator American Imaging; Maryleaf Chief Compliance Officer Source: Application section 20




D18-2004 Hayden Gateway LLC

Limited Liability Company 311 N. Aberdeen St. Chicago IL 60607 312-243-5900 [email protected]



Justice Grown Northampton


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Vanessa Ferber-Kruger Medical Marijuana - Operations CEO - Pennsylvania Jamil Taylor Medical Marijuana - Operations COO Danielle Loevy Diversity Training and Education Chief Diversity and Human Resource Officer

Shivawn Brady Medical Marijuana Cultivation and Education

Director of Medical Marijuana Training and Education

Richard Silverstein Medical Marijuana – Business Development CEO – Parent Company Krzysztof Krakowiak Financial Officer CFO Chris Hayes Medical Marijuana - Cultivation Director of Medical Marijuana Cultivation





D18-2005 Hayden Gateway LLC


311 N. Aberdeen St. Chicago IL 60607 312-243-5900 [email protected]



Justice Grown Dispensary Lackawanna



Shivawn Brady Medical Marijuana Cultivation and Education

Director of Medical Marijuana Training and Education

Richard Silverstein Medical Marijuana – Business Development CEO – Parent Company Krzysztof Krakowiak Financial Officer CFO Chris Hayes Medical Marijuana - Cultivation Director of Medical Marijuana Cultivation





D18-2006 Prime Wellness of Pennsylvania LLC


2 Corporate Boulevard

Sinking Spring PA 19608 (847) 946-0728 [email protected]



Prime Wellness of Pennsylvania, LLC Lackawanna


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Kevin Patrick Murphy Managing Member, High Street Capital Partners Management, LLC Principal Melvin Alan Yellin Managing Member, High Street Capital Partners Management, LLC Principal Devin Nathan Binford Managing Member, High Street Capital Partners Management, LLC Principal

Harold Chase Lenfest Entrepreneur and philanthropist, Managing Member HCL MM Investments PA, LLC Financial Backer

Sharon Kudeza Ali CEO Prime Wellness of Pennsylvania Operator Natasha Strother Lassiter COO, Prime Wellness of Pennsylvania Operator





D18-2007 Pennsylvania Dispensary Solutions LLC




Dispensary Information Primary Name Primary County Second Name Second County Third Name Third County Pennsylvania Dispensary Solutions – Region 2 Lackawanna Pennsylvania Dispensary

Solutions – Region 2 Lehigh











Luzerne County Dispensary Facility Luzerne


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Charlie Ian Bachtell Attorney/CEO CCO Brian McCormack Founder / Cresco Principal Robert Sampson COO / Cresco Executive VP of Grow/Processing Operations Dominic Sergi CEO / Clear Height Properties Principal Joseph Caltabiano Business Development Director Business Development Director David Michael Hartley CEO / President CFO David Kent Hartley Business Manager CEO Michael Trent Hartley Founder / Palmetto Research COO LeAnn Hartley Advocate/Homemaker Principal Karen Jane Hartley Retired Principal Allison Adleman Owner / Unlimited Staffing Principal Nicole Leah Burton Teacher Principal Kayvan Khalatbari Founder / Denver Relief Consulting Executive VP of Dispensary Operations







815 N Orianna Street, #A

Philadelphia PA 19123 724-856-0323 [email protected]



Health For Life Lackawanna


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Elizabeth Stavola Operations Owner/CEO/Financial Backer Tenisha Williams Community Outreach VP Julie Winter General Manager - Dispensary COO Jason Gully COO Operations Director Rose Schultz Assistant Manager Director of Inventory Management Krishna Singh Nuclear Scientist Chairman of the Board of Directors Leo Marcel Bridgewater LMR Technician Director of Community Outreach and Veteran Relations Tenisha Kerra Victor Project Manager Victor Madril Marketing Director Kyle Aaron Renz Patient Consultant Kristen Shaunte Dade-Simms HR admin Trisha Scott Chris Wendell Collins Miles Douglas Thompson Assistant project scientist Kimberly Wagner Dispensary Manager Ashli Gaulette Nurse Caroline Clark Retired Captain Saleha Qamer Awan Finance Associate





D18-2010 Power Plant Medicinal, Inc. S-Corporation 4 North 6th

Street – Suite 2 Shamokin PA 17872 570-878-1166 570-655-9111 megan@powerplant medicinal.com



Power Plant Medicinal, Inc. Luzerne


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Kenneth Milton Pollock Jr Executive Trustee & Director Connie Jo Pollock Rado Executive Trustee & Secretary Marion Francis Pollock Executive President & CEO Megan Ann Millo Executive Vice President & COO Kevin Hogan Certified Public Accountant Treasurer & CFO Edward Russell Missal Veteran and Cogeneration Plant Manager Advisory Board Director Murad Elbattah Business Professional Advisory Board Director Malcom L. Conway Chiropractor Advisory Board Director Marlon Richard Pitts Business Professional Advisory Board Director Andrew B Durako Health Care Executive Advisory Board Director Patrick Joseph Kerrigan Physician Advisory Board Member





D18-2011 BrightCare NEPA LLC


425 Spruce Street, Ste. 200 Scranton PA 18501 570-762-9725 [email protected]



BrightCare NEPA Lackawanna


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Josephine Vitale Medical Device Sales Manager CEO Samantha A. Edwards Medical Specialist, Parkland School District Patient Education Manager Vince Canales President of Fraternal Order of Police Security Manager Diane Molewski Housewife Principal, Financial Backer Dona Elizabeth Hall Occupational Therapist Clinical Specialist, Financial Backer Judith R. Pryblick D.O. Physician Professional Education/Outreach Farooq A. Qureshi MD Physician Medical Officer Frank Wang Pharmacist Dispensary Manager, Head Pharmacist Alan T Paynter M.S. Associate Director of Admissions, Dickinson College Diversity and Inclusion Officer Katie Donna Day Rev. Reverend Community/Patient Outreach





D18-2012 BrightCare BioMedics LLC Limited Liability Company




BrightCare BioMedics Luzerne


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Robert Vitale President & CEO, Horizon Facility Services CEO/CFO, Financial Backer Josh Genderson CEO COO Ronald Anthony Furiato, Jr. Medical Device Sales Security Manager Matthew Pisani, Jr. Asst. Conductor, Amtrack Logistics/Procurement Sarah Rae Edwards Housewife Principal, Financial Martin Karl Till Regional President at J.G. Petrucci Company, Inc. General Manager Megan P. Shank Director of Sales & Medical Cannabis Education VP Sales Michelle Zenie Non-Profit Executive Director Community/Patient

Alan T Paynter M.S. Associate Director of Admissions, Dickenson College Diversity and Inclusion Office

Lauren DelVecchio Pharmacist Dispensary Manager, Head Pharmacist Mark Li MD, PhD Chief, Division of Neurosurgery Chief Medical Officer

Teresa F Winslow MD, N/A Management Consultant/University Executive Head Pharmaceutical Standards, QC Manager





D18-2013 Theragreen LLC Limited Liability Company

40 Hidden Forest Lane Drums PA 18222 (570) 401-9708 [email protected]



Theragreen - Hazleton Luzerne Theragreen – East Stroudsburg Monroe Theragreen – Dickson City Lackawanna


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Lisamarie Shepperson Stetz CEO of Theragreen & certified school counselor CEO Jeffrey Michael Turse COO of Theragreen & retired police officer COO





D18-2014 Franklin BioScience - NE, LLC





BEYOND / HELLO Luzerne BEYOND / HELLO Lackawanna


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Blythe Lynne Huestis President President, Operator Robert Pearson Roche Jr. President Chief Experience Officer, Principal, Operator Andrew Michael Weiss Real Estate Developer/Investor Chief Executive Officer, Principal, Operator Cyrus Parviz Farudi Entreprenuer Chief Strategy Officer Robert Eugene Pease Chief Financial Officer Chief Financial Officer, Principal, Operator Patricia Ann Haley Program Director Co-Director of Security, Operator Robert Steve Stoud Law Enforcement Co-Director of Security, Operator Kevin Douglas Patrick VP/CFO Diversity Committee, Principal, Operator John M Dischert Pharmacist Southeast Regional Manager, Operator Amanda Lynn DeCotes Pharmacist Co-Director of Pharmacy, Operator

Michele Catalano-Musheno Pharmacist Northeast Regional Manager, Operator

Faisal Mohammed Faseehuddin CPA Director of Finance and Accounting, Operator Helena C Yardley Scientist Director of Science and Research, Operator Myra Jurhee Zerr Practitioner Outreach Director of Physician Outreach & Education, Operator









William R. Sasso Attorney General Counsel, Jack D. Korbutov Compounding Pharmacist Director of Pharmacy, Principal, Operator Malik Majeed President, CEO, General Counsel Director of Facilities, Principal, Operator Jonathan J Fernandez Chief Commercial Officer, Franklin Director of Kimberly Anna Stuck Founder, Cannabis Consulting Director of Compliance, Operator Edward Joseph Hazzouri Attorney, Lobbyist Director of Government Relations, Principal, Operator Mita Heble Pharmacist Co-Director of Elise Robinson Pizzi Gerontological Nurse Practitioner Director of Patient Affairs, Principal, Operator Jean B. Clifton CFO, COO Director of Finance, Principal, Operator Beth Baughman DuPree Physician Director of Philanthropy, Principal, Operator John N. Wozniak Public Servant Director of Public Strategy, Southwest, Operator


Michael L. Levin Physician Co-Chair Medical Advisory Board, Principal, Operator Daniel J. Lebovic Physician Member of Medical Advisory Board, Financial Backer Alexander Joseph Hazzouri President, CEO Director of Public Strategy, Northeast, Operator





D18-2015 BAY, LLC Limited Liability Company

475 W Governor Road Hershey PA 17033 (717) 571-2402 [email protected]



Cure Pennsylvania Luzerne


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Silvan Lutkewitte III Consultant Member Robert Yosaitis Business Owner Member Robert Ortenzio Executive Chairman, Co-founder Member David Chernow CEO Member Martin Jackson CFO Member Justin Bruce VP & CMO Member Daniel Bruce CEO Member Gary Bruce Engineer Member Jay Martin President, Silgan Plastics Member Rocco Ortenzio Vice Chair, Select Medical Member Daniel Larkin Glazing Contractor Member Michael Robinson Owner, PAP Technologies Member





D18-2016 Tri-Mountain Pure, LLC


8 West Broad Street, Suite 1000 Hazleton PA 18201 570-491-8101 [email protected]



Tri-Mountain Pure, LLC Luzerne Tri-Mountain Pure, LLC Lackawanna


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Neal DeAngelo III Businessman/Real Estate Developer President/Managing Member Tiffany Coomer Administrator/Treasurer Member/Director of Human Resources Michael Brian Hayford Executive Chief Executive Officer Timothy Walters Executive Chief Operating Officer Theodore V. Daniels Security Consultant Chief Security Officer William Lockwood Spear Pharmacist Director of Dispensary Operations Paul J. Wiegand M.D. Medical Doctor Chief Medical Officer Alfred J. Fasano Executive Vice President of Sales Dwight Alexander Bailey Information Tech. Executive Chief Information Officer





D18-2017 Keystone Heights LLC


916 S. 14th Street Harrisburg PA 17104 305-773-8880 [email protected]



Keystone Heights Northampton


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Alexander Hecht Havenick Head of Operations, Magic City Casino CEO Brian Keith Westmoreland Security Director of Security Barbara Hecht Havenick CEO of Magic City Casino Director of Community Outreach Michael Levin Pharmacist Medical Director Arnon Vered Co-Founder, NETA COO Lynnette French Director of Dispensary Operations, NETA Director of Dispensary Operations Amanda Rositano Director of Operational Compliance, NETA Director of Compliance Kevin Fisher CEO, Molecular Infusions Head of Strategy





D18-2018 Harvest of Northeast PA, LLC





Harvest Lackawanna







D18-2019 Local Dispensaries, LLC


2675 Ballybunion Road Center Valley PA 18034 570-599-6691 [email protected]



Local Dispensary Carbon



Katherine Allison Bio Registered Nurse Director of Patient Care, Financial Backer, Operator, Principal

Bruce David Nicholson Physician CEO/Principal/Financial Backer/Operator Peter Andrew Bio CEO CFO/Operator Molly Alpert Blasier Developer Director of Real Estate Projects, Operator & Principal Nancy Elizabeth Scanlon Pharmacy Manager Director of Pharmacy Standards, Operator, Principal Steven Barrer Physician Medical Director/Operator/Principal Lisa Mary Pabon Accountant Controller, Operator Timothy Eric Janosco Deputy Sheriff Luzerne County Director of Security (Operator) Gary Michael Wolfe Consultant Director of Business Development (Operator) Daniel Geiger Pharmacist Head Pharmacist (Operator, Principal) Renee Marie Kelso Director of Quality Assurance Director of Compliance (Operator) Staci Mulcahy Physician Director of Treatment Programming (Operator) Dr. Soon Yong Jung Pain Management MD Director of Pain Management (Operator)





D18-2020

Keystone Center of Integrative Wellness, LLC


21 State Ave., Suite 102 Carlisle PA 17013 888-805-1764 888-883-4507 [email protected]



Keystone Center of Integrative Wellness Lackawanna


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Krista Kay Kreb CEO CEO/CFO Mary Patricia Juias CMO/CSO Aaron Henry Krebs CEO/ Owner Michael Joseph Cranga CSO Melissa Costa Foreman Nicole Danielle Moyers Director of Diversity Programs Joseph J Morgan MD Physician Ryan Hedrick Gerald Knepp Pharmacist





D18-2021 Keystone Center of Integrative Wellness, LLC


21 State Ave., Suite 102 Carlisle PA 17013 888-805-1764 888-883-4507 [email protected]



Keystone Center of Integrative Wellness Lackawanna


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Krista Kay Kreb CEO CEO/CFO Mary Patricia Juias CMO/CSO Aaron Henry Krebs CEO/ Owner Michael Joseph Cranga CSO Melissa Costa Foreman Nicole Danielle Moyers Director of Diversity Programs Joseph J Morgan MD Physician Ryan Hedrick Gerald Knepp Pharmacist





D18-2022 Integrative Care, LLC Limited Liability Company

33 N 8th Street Bangor PA 18013-1711 570-972-6778 570-872-9888 [email protected]



Integrative Care, LLC - Monroe Monroe Integrative Care, LLC - Northampton Northampton


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Paraskeve Zumas attorney CEO Christopher Zumas business owner CFO Karen Louise Getchell Cannabis Business Services COO and Business Development Mikhail J. Artamonov physician CMO/Medical Director








Agape Total Health Care Luzerne Agape Total Health Care Lehigh Agape Total Health Care Northampton


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Russell Kuchta Pharmacist President/CEO Thomas Huzela Realtor Chief Construction Officer










Nirvana Dispensary Carbon






Business Information: ID Number Name Org Type Address City State Zip Code Phone Fax Email



Dispensary Information* Primary Name Primary County Second Name Second County Third Name Third County


Current Officer(s) * First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business


*Information not provided.






1735 Market St, Ste A #440 Philadelphia PA 19103-7501 708.919.5641 [email protected]



PharmaCann Penn LLC Lackawanna






REGION 3 – SOUTHCENTRAL Business Information


D18-3001 Columbia Care Pennsylvania LLC


1790 North Keyser Ave Scranton PA 18508 1-215-715-9096 [email protected]



City of Harrisburg – Columbia Care Dauphin


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Nicholas Keane Vita CoFounder and CEO








Boca Raton FL 33432 561-620-3600 561-717-7122 [email protected]



Bloom Medicinals of PA, LLC Franklin










D18-3003 Keystone Organic Solutions, LLC


111 Fairway Drive Dillsburg PA 17019 717-448-4824 [email protected]



Keystone Organic Solutions, LLC Dauphin


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Kyle Robert Hejmanowski Pharmacist CEO Anna Margaret Spisak Senior Product Designer COO Joseph Christopher Spisak Network Integration Engagement Manager CTO





D18-3004 Five-Leaf Remedies, Inc.

Benefit Corporation

1365 N George St York PA 17401 717-848-4900 717-843-9039 [email protected]



Grow Op Farms Pennslyvania York


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Lynford Doyle King Pharmacist President of Dispensaries/Board Member Oziel Epifanio Bones Restaurant Owner Bilingual Community Liaison/Board Member Christina Marie Kauffman Writer/Entrepreneur Vice-President of Communciations/Secretary of the Board Rebecca Kingston Countess Teacher Vice President of Administrative Services and Benefits Officer Grace Theresa Quartey Certified Public Accountant Treasurer James Edward Parco Professor/Entrepreneur Vice Chairperson Juan Arato Kimble Engineer Co-Chair of the Committee on Compliance and Security Oversight





D18-3005 The Natural Dispensary, LLC


973 E. Swedesford Road Malvern PA 19355 330-338-9130 610-577-2897 [email protected]



Natura Path Huntingdon


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Rakesh M Patel Entrepreneur Director of Business Operations Rajendra Singh Pharmacist Senior Director Finance and Business Development Sonali Patel Pharmacist General Manager Maryam C Lane Retired Veteran Director of Human Resources Jack P Lane Township Manager Director of Diversity, Inclusion and Community Relations Dante Joseph Bradley Attorney General Counsel Thuanh A Tran Pharmacist Lead Pharmacist and Diversion and Complaince Manager





D18-3006 KEYSTONE COMPASSIONATE DISPENSARY, LLC


401 Park Circle Mechanicsburg 17055 717-766-0343 717-766-0343 [email protected]


Dispensary Information Primary Name Primary County Second Name Second County Third Name Third County KEYSTONE COMPASSIONATE DISPENSARY, LLC Dauphin KEYSTONE COMPASSIONATE

DISPENSARY, LLC Dauphin KEYSTONE COMPASSIONATE DISPENSARY, LLC Cumberland


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Kathryn Rose Grandizio-Stephens Pharmacist/Pharmacy Owner President Heather Lynn Stafford Director of Nursing COO Randi Ardeth Johnson Treasurer/Vice President Johnson 330 Holdings Bookkeeper/Marketing PR Officer Shannon Kathleen Mccauley Pharmacist Pharmacist

Kimberly Wiley Liberatiscioli Pharmacist/Multi Site Owner Patient, Community & Gov’t Outreach Director

Lauren Jane Rengen Nurse Practitioner Patient Consultation Specialist Ophillia Dominique Registered Nurse/Certified School Nurse Clinical Liaison Mohan Rai Rengen Gastroenterologist Chief Medical Officer Devanand Anthony Dominique Neurological Surgeon Chief Scientific Officer Mark David McAlanis Pharmacist/Multi-Site Owner Inventory Manager Jeffrey Hugh Johnson Starbucks Project Engineer Chief Compliance Officer Troy Allen Kyle Entrepreneur Sr. Advisor





D18-3007 Bluestone Biomedical LLC


3422 Canyon Creek Mechanicsburg PA 17055 717-818-2919 [email protected]



Bluestone Biomedical Trindle Commons Dispensary Cumberland







D18-3008 Ilera Dispensing LLC Limited Liability Company

3553 West Chester Pike #347

Newtown Square PA 19073 6102208163 [email protected]



Ilera Healthcare York


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Greg J Rochlin Medical Marijuana CEO Lisa M Gray Medical Marijuana and Private Equity CFO Oludare J Odumosu MPH PhD Pharmaceuticals Operations COO





D18-3009 Metro Pharm, LLC Limited Liability Company

827 South George Street York PA 17403 717-818-6616 [email protected]



Metro Pharm, LLC York


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Debra M. Stock Executive, CEO, Grant Writer CEO Patrick Brian Newsome PharmD Pharmacist COO, Principal Nicole J. Post D.O. Physician, Doctor of Osteopathy Medical Director Rachel Helen Scarpato CPA Manager of Strategic Finance CFO John William DeHaas Hospital Director of Medical Services Chief Compliance Officer Curtis Spencer Tribue Human Resources Director of Human Resources Richard W Carpenter Security Company Director of Security





D18-3010 BAY, LLC Limited Liability Company 475 W Governor Road Hershey PA 17033 (717) 571-2402 [email protected]



Cure Pennsylvania Cumberland Cure Pennsylvania Dauphin







D18-3011 Harvest of South Central PA, LLC





Harvest Dauphin







D18-3012 PharmaCann Penn LLC Limited Liability Company




PharmaCann Penn LLC Bedford







D18-3013 TerraVida Holistic Centers LLC.


1630 Old York Road Abington PA 19001 215-836-1535 [email protected]



TerraVida Holistic Centers Dauphin


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Adina Esther Birnbaum Business Owner CEO Chris Joanne Visco Business Owner President Valentin Theodore Gorski CFO CFO Richard Lester Business Owner Investor Shari Gail Lazarus Retired Investor Amy Peiken Palmer Mother Investor Jeffrey Kaliner Business Owner Investor James Allen Donerkiel Real Estate Appraiser Principal Gerard Gennaro Genua Business Owner Principal Jo Anne Blumenthal Retired Investor Douglas Lee Topkis Business Owner Principal Michael Kenyatta Markman Developer President Matthew H Kamens Trustee Investor





D18-3014 US Holistic, LLC Limited Liability Company

1229 Chestnut Street, #121 Philadelphia PA 19107 (609) 558 5877 [email protected]



US Holistic Harrisburg Dauphin


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Jaclyn L. Moore PharmD Pharmacist, Executive Chief Executive Officer Phuong Diem Schmidt CPA Accountant Chief Financial Officer Philip W. Barton Agriculture Chief Operating Officer Ryan J. Duffy Carl Marcus Vik Consultant Director of Business Devel










Local Dispensary Dauphin




Bruce David Nicholson Physician CEO/Principal/Financial Backer/Operator Peter Andrew Bio CEO CFO/Operator Molly Alpert Blasier Developer Director of Real Estate Projects, Operator & Principal Nancy Elizabeth Scanlon Pharmacy Manager Director of Pharmacy Standards, Operator, Principal Steven Barrer Physician Medical Director/Operator/Principal Lisa Mary Pabon Accountant Controller, Operator Timothy Eric Janosco Deputy Sheriff Luzerne County Director of Security (Operator) Gary Michael Wolfe Consultant Director of Business Development (Operator) Daniel Geiger Pharmacist Head Pharmacist (Operator, Principal) Renee Marie Kelso Director of Quality Assurance Director of Compliance (Operator) Staci Mulcahy Physician Director of Treatment Programming (Operator) Dr. Soon Yong Jung Pain Management MD Director of Pain Management (Operator)





D18-3016 Pianta Industries, LLC Limited Liability Company

160 Valley Road Lancaster PA 17601 717-575-4321 717-517-8410 [email protected]



Pianta Industries, LLC York Pianta Industries, LLC (#2) Pianta Industries, LLC

( #3)


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Thomas William Ponessa Psychologist & Business Owner President Donna Kay Ponessa Business Owner Vice-President Jason William Ponessa Director of Operations Secretary/Treasurer





D18-3017 Kind Remedies, LLC


21 State Avenue Suite 102 Carlisle PA 17015 570-218-4402 1-855-246-1234 info@kind-

remedies.com



Kind Remedies LLC Dauphin







D18-3018 Sunrise Organic Wellness LLC


339 W. Lancaster Ave. Suite 200

Haverford PA 19041 610-505-6200 [email protected]



Sunrise Dauphin


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Alixandra Jen Batoff Morgan Attorney Director of Community Affairs, Owner Staci Beth Walkes Aftercare Program Director of Human Resources, Owner Keith Alan Morgan Business Executive Director of Administration/Financial Backer Richard Gary Genderson Retail Owner Director of Operations Joshua Ian Genderson Retail Owner CEO Louis John Giannotti Rph. Pharmacist Director of Dispensary Operations Nancy Sampson Lindberg Accountant Director of Accounting & Administration Joshua Albert Bell Medical Cannabis Operations/Management Chief Operating Officer Ismael Vince Canalas Security Director of Security Morgan Greenhouse Genderson Interior Design and Real Estate Director of Quality Assurance Jannie Kaman Lau Lawyer Director of Diversity William Joseph Albany Retired Chief of Police Senior Security Director Tejas Ajmeri Accountant Director of Treasury

Jeremy Workman Health & Wellness Professional - "Fitness and Health Trainer" Director of Health & Wellness

Sherry Olin Lemonick Esq Attorney General Counsel Carol Lynn Kopiak RpH Wellness Director Pharmacist/Manager Stephen William Miller Cannabis Cultivator Inventory Manager



First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Gabriel Andrei Torres Store Manager Store Manager Uday Jagdev Gohel RpH Pharmacist Manager of Dispensary Operations Maria Ann Bartolozzi MD Anesthesiologist Chief Medical Director Patricia Nasshorn Healthcare Executive Vice President of Patient Relations Catherine Gorman Director of Public Services Michelle J. McCarthy RN/ case manager/ admission nurse Professional Advisory Board Member Susan Elizabeth Phillips Public Affairs Professional Advisory Board Chair Rachel Genderson Dispensary Manager Dispensary Manager

Ali Haidari-Tabrizi Property and Store Development Director of Facility Design





D18-3019 GTI Pennsylvania, LLC





RISE Mechanicsburg Cumberland







D18-3020 Green Grass Dispensaries, LP

Limited Liability Limited Partnership

3305 Pleasant Valley Blvd, Suite B

Altoona PA 16602 814-330-7955 [email protected]



Green Grass Dispensaries, LP Blair


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Ronald James Perretta Business Owner Chief Executive Officer / President Paige Ellen Cross Controller Chief Financial Officer William Donnelly Thompson III Pharmacist Owner Chief Medical Officer Kirk James Baser Investment Advisor / Business Owner Chief Operations Officer / Vice President Theodore Vincent Daniels Security Specialist Director of Security William Joseph Stokan Attorney General Counsel John Lee Hopkins Consultant Director of Veterans Affairs





D18-4001 Columbia Care Pennsylvania LLC Limited Liability Company 2270 Park Place Slatington PA 18080 1-215-715-9096 licensing@col-

care.com Source: Application section 1 & 18


Centre County – Columbia Care Centre


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Nicholas Keane Vita Businessman Cofounder and CEO





D18-4002 Pennsylvania Medical Solutions LLC





Pennsylvania Dispensary Solutions - Region 4 Tioga







D18-4003 EMF Pennsylvania LLC Limited Liability Company

311 N. Aberdeen St. Chicago IL 60607 312-243-5900 [email protected]



Justice Grown Dispensary Columbia



Shivawn Brady Medical Marijuana Cultivation and Education Director of Medical Marijuana Training and Education

Richard Silverstein Medical Marijuana – Business Development CEO – Parent Company

Krzysztof Krakowiak Financial Officer CFO Brad Zerman Medical Marijuana - Operations Director of Medical Marijuana Dispensary Management





D18-4004 New Age Care Limited Liability Company


109 E North Street

New Castle PA 16101 847-414-0373 [email protected]



New Age Northumberland


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Marla Palmer Dorf Cultivation and Dispensary Owner Owner, Financial Backer, CEO/President Ian Horowitz Sales/Marketing Patient Outreach Director George Archos Grower/Processor and Dispensary Owner Financial Backer, Vice President

Lori Ferrara Cannabis Investor and Cannabis Business Advisor COO

Tangerline Lofin Medical Technology, Chief Biological Officer for Cannabis Dispensary (MD)

Compliance Director and Director of Science and Technology

Christopher Lawrence Security Company Owner/President Security Director Rachel Swerdin Certified Pediatric Nurse Practitioner Medical Director

Mark Mogil Pharmacy Owner/Operator General Manager & Director of Pharmacy Standards

Randi Miller CPA CFO Josh Kaplan M.D. Clinical Research Research Director





D18-4005 New Age Care Limited Liability Company


109 E North Street New Castle PA 16101 847-414-0373 [email protected]



New Age Northumberland


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Marla Palmer Dorf Cultivation and Dispensary Owner Owner, Financial Backer, CEO/President Ian Horowitz Sales/Marketing Patient Outreach Director George Archos Grower/Processor and Dispensary Owner Financial Backer, Vice President Lori Ferrara Cannabis Investor and Cannabis Business Advisor COO

Tangerline Lofin Medical Technology, Chief Biological Officer for Cannabis Dispensary (MD)

Compliance Director and Director of Science and Technology

Christopher Lawrence Security Company Owner/President Security Director Rachel Swerdin Certified Pediatric Nurse Practitioner Medical Director

Mark Mogil Pharmacy Owner/Operator General Manager & Director of Pharmacy Standards

Randi Miller CPA CFO Josh Kaplan M.D. Clinical Research Research Director





D18-4006 KEYSTONE COMPASSIONATE DISPENSARY, LLC


401 Park Circle Mechanicsburg PA 17055 717-766-0343 717-980-5147 [email protected]



KEYSTONE COMPASSIONATE DISPENSARY, LLC Northumberland


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Kathryn Rose Grandizio-Stephens Pharmacist/Pharmacy Owner President Heather Lynn Stafford Director of Nursing COO

Randi Ardeth Johnson Treasurer/Vice President Johnson 330 Holdings Bookkeeper/Marketing PR Officer

Shannon Kathleen Mccauley Pharmacist Pharmacist Kimberly Wiley Liberatiscioli Pharmacist/Multi Site Owner Patient, Community & Gov’t Outreach Director Lauren Jane Rengen Nurse Practitioner Patient Consultation Specialist

Ophillia Dominique Registered Nurse/Certified School Nurse Clinical Liaison

Mohan Rai Rengen Gastroenterologist Chief Medical Officer Devanand Anthony Dominique Neurological Surgeon Chief Scientific Officer Mark David McAlanis Pharmacist/Multi Site Owner Inventory Manager Jeffrey Hugh Johnson Starbucks Project Engineer Chief Compliance Officer TROY ALLEN KYLE Entrepeneur Sr. Advisor





D18-4007 Harvest of North Central PA, LLC





Harvest Northumberland


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Valetta Rae Stewart Command Sergeant Major President Gary Lee Pinkston Self-Employed Financial Backer Steve Matthew White Harvest CEO CEO Christopher David Hewitt Harvest COO COO Edelmiro Gonzalez Harvest CFO CFO Liesl Michele Sicz Harvest Director of Retail Operations Director of Retail Operations William Duffy Troutt Harvest Director of Medical Education Director of Medical Education Siobahn Elizabeth Carragher Harvest Director of Human Resources Director of Human Resources Matthew Daniel DiDonato Harvest Director of Research and Evaluation Director of Research and Evaluation Paul David Nowak Harvest Director of New Development Director of New Development

Timothy James Buskirk Harvest Safety and Security Compliance Director Safety and Security Compliance Director










PharmaCann Penn LLC Northumberland







D18-4009 Anthracite Wellness Center Inc. C-Corporation 700 N.

Franklin St. Shamokin PA 17872 570-713-4747 [email protected]



Anthracite Wellness Center Inc. Northumberland Anthracite Wellness Center Inc. Northumberland Anthracite Wellness

Center Inc. Northumberland


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business John Gembic Judge President Tehani Marie Shingara Construction CEO Erin Elizabeth Phillips Consultant COO Victor Emanuel Northern Higher Education CFO Bethany Kathryn Niebauer Writer CCO Brandon Darel McFarland Insurance CHRO Mark Joseph Kemper Pharmacist CPO







339 W. Lancaster Ave. Suite 200 Haverford PA 19041 610-505-6200 [email protected]



Sunrise Columbia


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Alixandra Jen Batoff Morgan Attorney Director of Community Affairs, Owner Staci Beth Walkes Aftercare Program Director of Human Resources, Owner Keith Alan Morgan Business Executive Director of Administration/Financial Backer Richard Gary Genderson Retail Owner Director of Operations Joshua Ian Genderson Retail Owner CEO Louis John Giannotti Rph. Pharmacist Director of Dispensary Operations Nancy Sampson Lindberg Accountant Director of Accounting & Administration

Joshua Albert Bell Medical Cannabis Operations/Management Chief Operating Officer

Ismael Vince Canalas Security Director of Security Morgan Greenhouse Genderson Interior Design and Real Estate Director of Quality Assurance Jannie Kaman Lau Lawyer Director of Diversity William Joseph Albany Retired Chief of Police Senior Security Director Tejas Ajmeri Accountant Director of Treasury


Sherry Olin Lemonick Esq Attorney General Counsel Carol Lynn Kopiak RpH Wellness Director Pharmacist/Manager



First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Stephen William Miller Cannabis Cultivator Inventory Manager Gabriel Andrei Torres Store Manager Store Manager Uday Jagdev Gohel RpH Pharmacist Manager of Dispensary Operations Maria Ann Bartolozzi MD Anesthesiologist Chief Medical Director Patricia Nasshorn Healthcare Executive Vice President of Patient Relations Catherine Gorman Director of Public Services Michelle J. McCarthy RN/ case manager/ admission nurse Professional Advisory Board Member Susan Elizabeth Phillips Public Affairs Professional Advisory Board Chair Rachel Genderson Dispensary Manager Dispensary Manager Ali Haidari-Tabrizi Property and Store Development Director of Facility Design





D18-4011 BrightCare BioMedics LLC





Bright Care Biomedics Snyder


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Robert Vitale President & CEO, Horizon Facility Services CEO/CFO, Financial Backer Josh Genderson CEO COO Ronald Anthony Furiato, Jr. Medical Device Sales Security Manager Matthew Pisani, Jr. Asst. Conductor, Amtrack Logistics/Procurement Sarah Rae Edwards Housewife Principal, Financial Martin Karl Till Regional President at J.G. Petrucci Company, Inc. General Manager Megan P. Shank Director of Sales & Medical Cannabis Education VP Sales Michelle Zenie Non-Profit Executive Director Community/Patient

Alan T Paynter M.S. Associate Director of Admissions, Dickenson College Diversity and Inclusion Office

Lauren DelVecchio Pharmacist Dispensary Manager, Head Pharmacist

Mark Li MD, PhD Chief, Division of Neurosurgery Chief Medical Officer

Teresa F Winslow MD, N/A Management Consultant/University Executive Head Pharmaceutical Standards, QC Manager




REGION 5 – SOUTHWEST


D18-5001 Organic Remedies, Inc. S-Corporation 305 North Old

Stonehouse Rd Carlisle PA 17015 717-275-3390 [email protected]



Organic Remedies Cambria Organic Remedies Allegheny Organic Remedies Fayette


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Eric Raymond Hauser Pharmacist / CEO CEO Ryan David Simpson Chief Financial Officer CFO John T Toth Pharmacist / COO COO Tammy A Royer Senior Vice President Rite Aid Corporation President Paul E Smith Labor Allocation CDO





D18-5002 Maitri Medicinals, LLC


938 Penn Ave Suite 702

Pittsburgh PA 15222 (724) 880-0554

(888) 258-1805 [email protected]



Maitri Medicinals – Collier Township Allegheny


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Corinne Ogrodnik Executive CEO Joseph Vesely Jr Executive COO Jimil Wilson Executive CFO





D18-5003 Maitri Medicinals, LLC


938 Penn Ave Suite 702 Pittsburgh PA 15222 (724) 880-

0554 (888) 258-1805 [email protected]



Maitri Medicinals – Aliquippa Beaver


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Corinne Ogrodnik Executive CEO Joseph Vesely Jr Executive COO Jimil Wilson Executive CFO










Health For Life Cambria


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Elizabeth Stavola Operations Owner/CEO/Financial Backer Tenisha Williams Community Outreach VP Julie Winter General Manager - Dispensary COO Jason Gully COO Operations Director Rose Schultz Assistant Manager Director of Inventory Management Krishna Singh Nuclear Scientist Chairman of the Board of Directors

Leo Marcel Bridgewater LMR Technician Director of Community Outreach and Veteran Relations

Tenisha Kerra Victor Project Manager Victor Madril Marketing Director Kyle Aaron Renz Patient Consultant Kristen Shaunte Dade-Sims HR admin Trisha Scott Chris Wendell Collins Director Miles Douglas Thompson Assistant project scientist Kimberly Wagner Dispensary Manager Ashli Gaulette Nurse Caroline Clark Retired Captain Saleha Qamer Awan Finance Associate





D18-5005 Mission Pennsylvania IV, LLC


5060 N. 40th Street, STE 120 Phoenix AZ 85018 602-730-4346 [email protected]



Mission Pennsylvania IV, LLC Cambria Mission Pennsylvania IV, LLC Allegheny


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Sean William Gallagher Retail Operations Executive Owner, Managing Partner (Principal/Financial Backer) Victor Herbert Serna IT Owner, Managing Partner (Principal/Financial Backer) Leise M. Rosman COO COO Lirit Nathaly Franks Research Director Research Director





D18-5006 Mission Pennsylvania IV, LLC


5060 N. 40th Street, STE 120 Phoenix AZ 85018 602-730-4346 [email protected]



Mission Pennsylvania IV, LLC Allegheny Mission Pennsylvania IV, LLC Allegheny


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Sean William Gallagher Retail Operations Executive Owner, Managing Partner (Principal/Financial Backer) Victor Herbert Serna IT Owner, Managing Partner (Principal/Financial Backer) Leise M. Rosman COO COO Lirit Nathaly Franks Research Director Research Director





D18-5007 Sunset Hills Medical, LLC


1120 Three Degree Road Butler PA 16002 724-612-8504 724-453-2325 [email protected]



Sunset Hills Medical, LLC Allegheny


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Colleen Elizabeth Ekas Director of Marketing Pres / CEO Kurt Martin Baumgartel Sr Health Executive VP / COO Daniel Frederick Allen CFO CFO / Treas Tyson Lee Hilovsky Financial Advisor Secretary Phillip David Plant CEO VP








Dispensary Information Primary Name Primary County Second Name Second County Third Name Third County Westmoreland County Dispensary Facility Westmoreland


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Charlie Ian Bachtell Attorney/CEO CCO Brian McCormack Founder / Cresco Principal Robert Sampson COO / Cresco Executive VP of Grow/Processing Operations Dominic Sergi CEO / Clear Height Properties Principal Joseph Caltabiano Business Development Director Business Development Director David Michael Hartley CEO / President CFO David Kent Hartley Business Manager CEO Michael Trent Hartley Founder / Palmetto Research COO LeAnn Hartley Advocate/Homemaker Principal Karen Jane Hartley Retired Principal Allison Adleman Owner/Unlimited Principal Nicole Leah Burton Teacher Principal Kayvan Khalatbari Founder / Denver Relief Consulting Executive VP of Dispensary Operations





D18-5009 GTW3, LLC Limited Liability Company

5832 Steubenville Pike

McKees Rocks PA 15136 412-973-2722 [email protected]



GTW3 Allegheny


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Melanie Kohan Community Outreach Volunteer Patient Outreach Director Amber Richards Community Outreach Volunteer Community Outreach Director Christine Lubimir Consultant CEO/President John Richard Richards Jr. Construction COO Robert Veinovich Jr. Director of Security Principal/Founder Brenda Bowe Sebring Attorney General Council Jill Zimbicki Pharmacist Pharmacist Lisa M Kolarac Federal Tax Force/DEA Chief Diversity Officer/Deputy Director of Security





D18-5010 Sirona Dispensary, LLC


705 Donnan Ave Washington PA 15301 717-554-2377 [email protected]



Sirona Washington


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Holden Farahani Manager of Medical Marijuana Organization CEO/Founder Walter Dennis Bednarski Retired Steel Worker Director of Plant Nicole Brooke Bosley Bednarsky Surgeon Medical Advisor Alisa Margaret Stack Senior Executive Service Dept of Defence Government Relations Advisor Michele Mosier Pharmacist Medical Advisor Courtney Ramous PhD Psychologist Medical Advisor Angie Sharrer Advocate Patient Liaison Advisor Sunita Chakraborty Controller Controller Doug Gregory Whaley Consultant Director of Business Clorinda Delfina Walley CEO of non profit charitable organization Financial Backer






5832 Steubenville Pike McKees Rocks PA 15136 412-973-2722 [email protected]



GTW3 Beaver












Health for Life Allegheny


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Elizabeth Stavola Operations Owner/CEO/Financial Backer Tenisha Williams Community Outreach VP

Julie Winter General Manager - Dispensary COO

Jason Gully COO Operations Director Rose Schultz Assistant Manager Director of Inventory Management Krishna Singh Nuclear Scientist Chairman of the Board of Directors Leo Marcel Bridgewater LMR Technician Director of Community Outreach and Veteran Relations Tenisha Kerra Victor Project Manager Victor Madril Marketing Director Kyle Aaron Renz Patient Consultant Kristen Shaunte Dade-Simms HR admin Trisha Scott Chris Wendell Collins Director Miles Douglas Thompson Assistant project scientist Kimberly Wagner Dispensary Manager Ashli Gaulette Nurse Caroline Clark Retired Captain Saleha Qamer Awan Finance Associate









GTW3 Cambria







D18-5014 T&S Alliance, LLC


126 Dickson Avenue Pittsburgh PA 15202 412-805-6466 412-364-5172 [email protected]



T&S Alliance, LLC Beaver



Shannon Lynn Thieroff Chiropractor/President of Choice Chiropractic & Wellness Center, P.C. Chief Executive Officer

Gregory Swetoha Chief Operating Officer of YMCA of Greater Pittsburgh Chief Operating Officer Source: Application section 20




D18-5015 BAY, LLC Limited Liability Company 475 W Governor Road Hershey PA 17033 (717) 571-2402 [email protected]



Cure Pennsylvania Allegheny







D18-5016 Franklin BioScience - SW, LLC





BEYOND / HELLO Cambria


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Blythe Lynne Huestis President President, Operator Robert Pearson Roche Jr. President Chief Experience Officer, Principal, Operator Andrew Michael Weiss Real Estate Developer/Investor Chief Executive Officer, Principal, Operator Cyrus Parviz Farudi Entreprenuer Chief Strategy Officer Robert Eugene Pease Chief Financial Officer Chief Financial Officer, Principal, Operator Patricia Ann Haley Program Director Co-Director of Security, Operator Robert Steve Stoud Law Enforcement Co-Director of Security, Operator Kevin Douglas Patrick VP/CFO Diversity Committee, Principal, Operator John M Dischert Pharmacist Southeast Regional Manager, Operator Amanda Lynn DeCotes Pharmacist Co-Director of Pharmacy, Operator Michele Catalano-Musheno Pharmacist Northeast Regional Manager, Operator Faisal Mohammed Faseehuddin CPA Director of Finance and Accounting, Operator Helena C Yardley Scientist Director of Science and Research, Operator

Myra Jurhee Zerr Practitioner Outreach Director of Physician Outreach & Education, Operator

Richard Eric Austin Program Director Community Liaison to Law Enforcement and Safety Officials








William R. Sasso Attorney General Counsel Jack D. Korbutov Compounding Pharmacist Director of Pharmacy, Principal, Operator Malik Majeed President, CEO, General Counsel Director of Facilities, Principal, Operator Jonathan J Fernandez Chief Commercial Officer, Franklin Director of Kimberly Anna Stuck Founder, Cannabis Consulting Director of Compliance, Operator

Edward Joseph Hazzouri Attorney, Lobbyist Director of Government Relations, Principal, Operator

Mita Heble Pharmacist Co-Director of Elise Robinson Pizzi Gerontological Nurse Practitioner Director of Patient Affairs, Principal, Operator Jean B. Clifton CFO, COO Director of Finance, Principal, Operator Beth Baughman DuPree Physician Director of Philanthropy, Principal, Operator John N. Wozniak Public Servant Director of Public Strategy, Southwest, Operator


Michael L. Levin Physician Co-Chair Medical Advisory Board, Principal, Operator

Ronald H. Fields Physician Co-Chair Medical Advisory Board, Principal, Operator

Daniel J. Lebovic Physician Member of Medical Advisory Board, Financial Backer

Alexander Joseph Hazzouri President, CEO Director of Public Strategy, Northeast, Operator Source: Application section 20




D18-5017 Harvest of Southwest PA, LLC





Harvest Cambria












PharmaCann Penn LLC Cambria







D18-5019 SunFrea Wellness, LLC


147 Buckingham Drive Pittsburgh PA 15237 412-559-7706 [email protected]



Beaver Allegheny Westmoreland


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Dustin William Freas CEO Novus Pain Management Principal/Financial Backer/Officer William Erdice Freas CEO Careventures Principal/Financial Backer/Officer Kevin Casey Gibbs Managing Partner, Merida Capital Partners Principal/Financial Backer/Officer Harris Hart Silver Entrepreneur Principal/Financial Backer/Officer Michael Anthony Sundo Esq. COO, Longboat Capital Principal/Financial Backer/ Chief Financial Officer Damean William Freas D.O. Chairman, Maryland Board of Physicans Operator/Chief Science Officer Kimberly Ann Brown PhD President, Advent Laboratories Operator/ Chief Executive Officer





D18-5020 CB Health Services, LLC


430 Greenwood Avenue Glencoe Illinois 60022 847-835-1711 [email protected]



CB Health Services Allegheny


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Carl Boyar Entrepreneur / Physician Chief Executive Officer





D18-5021 Nature's Gift, LLC


1057 Clinton Road

Clinton PA 15026 412-613-6526 844-861-2466 [email protected]



Nature's Gift Allegheny


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Russell L Adams Owner CEO Raquel B Garcia Owner COO Brett W Mcginnis Owner CFO





D18-5022 CWAZ Industries, LLC


1126 Main Street Evanston Illinois 60202 773-793-3829 270-897-2283 [email protected]



CommonHealth – South Side Allegheny



Zachary Charles Zises President and Chief Compliance Officer at Dispensary33, President at Pheno33 Chief Operating Officer

David Michael Neundorfer Chief Executive Officer at Linestream Technologies Chief Executive Officer

Oscar Samuel Hackett Chief Financial Officer & General Counsel at Rustic Pathways Chief Compliance Officer

Frederick Richelieu Reeves Jr. Pharmacist at Millington Pharmacy Head Pharmacist Martha Ellen Hackett Family Physician and CEO of Wellness Center Chief Medical Officer Don Edward Brinberg Gastroenterologist and CEO of Clinical Research Lab Chief Research Officer Thomas Joseph Lekan President of Thomas J. Lekan Security Consulting Chief Inventory Officer Robert Curtis Tarro Lieutenant at Parma Police Department Chief Security Officer Paul Lee General Manager at Dispensary33 Chief Product Officer Kristie Bunty Zises Chief Financial Officer at Dispensary33 Chief Financial Officer Julia Marie Maurer President of SilverLine Consulting Director of Human Resources Daniel Bennett Peck Chief Executive Officer at Filevault Director of Information Technology

Engdawork Admasu Engda Scientist of Analytical Chemistry at Olon Ricerca Bioscience Director of Extraction

John Robert De Carrier Owner of multiple McDonald's locations Director of Diversity

Hyun Wook Pak Medical Marijuana Operations Consultant at Bedford Grow, Operations Consultant at Pheno33

Director of Cultivation, Extraction Manager




Catherine Lynn Ols Community Liaison at Greenleaf Director of Community Engagement and Patient Services

Kenneth Phillip Wulff Product Development Consultant for Nestle OSHA Specialist

Jonathan Robert Nelson Agronomy Consultant at Sustainable Plant Solutions, Assistant Superintendent at Fairlawn Country Club Agronomist





D18-5023 Cannavations PA, LLC. Limited Liability Company 2008 Ivy Court Aliquippa PA 15001 314-705-2982 [email protected]



Cannavations PA Beaver Cannavations PA Coraopolis Allegheny


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Wendy Yanire Greene Administration Principal Robert Paul Greene Business Owner CEO Brian Christopher Fox Business Owner Principal





D18-5024 RAMS Care, LLC Limited Liability Company

477 Elm Place

Highland Park Illinois 60035 773-870-2439 [email protected]



Herbology Allegheny


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Audrey Selin Entrprenuer / Lawyer Chief Executive Officer Steven Weisman Entrprenuer / Lawyer Chief Operating Officer Mitchell Kahn Entrprenuer / Lawyer Chief Compliance Officer Matthew Darin Entrprenuer / Certified Public Accountant Chief Financial Officer










Local Dispensary Cambria




Bruce David Nicholson Physician CEO/Principal/Financial Backer/Operator Peter Andrew Bio CEO CFO/Operator Molly Alpert Blasier Real Estate Developer Director of Real Estate Projects, Operator & Principal Nancy Elizabeth Scanlon Pharmacy Manager Director of Pharmacy Standards, Operator, Principal Steven Barrer Physician Medical Director/Operator/Principal Lisa Mary Pabon Accountant Controller, Operator Timothy Eric Janosco Deputy Sheriff Luzerne County Director of Security (Operator) Gary Michael Wolfe Consultant Director of Business Development (Operator) Daniel Geiger Pharmacist Head Pharmacist (Operator, Principal) Renee Marie Kelso Director of Quality Assurance Director of Compliance (Operator) Staci Mulcahy Physician Director of Treatment Programming (Operator) Dr. Soon Yong Jung Pain Management MD Director of Pain Management (Operator)





D18-5026 KMAR Relief Services, LLC.


110 Canterbury Way

Johnstown PA 15904 (814) 241-4902 (814) 260-4146 [email protected]



KMAR Relief Services, LLC. Cambria KMAR Relief Services, LLC. Allegheny KMAR Relief Services, LLC. Westmoreland


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Jacqueline Marie Martella Pharmacist Co-Owner Kathleen Ann Martella-Zucco Chief Administrative Officer Co-Owner Joseph Michael Martella Jr. Pharmacist Co-Owner





D18-5027 PA Verdant Creations LLC


600 North 2nd Street; Suite 401 Harrisburg PA 17101 614-508-7220 614-413-3049 [email protected]



Verdant Creations Cambria


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business John George Hondros Chairman, Hondros Family of Companies Chief Executive Office Kelly Lauren Hondros Member, Hondros Family of Companies Chief Compliance Officer

Lilach Mazor Power Founder & Managing Director, The Giving Tree - Phoenix Chief Operating Officer

Keith Thomas Power Medical Director, The Giving Tree - Phoenix Chief Medical Officer Rosalind Denise Scott HR Director, Hondros Family of Companies Director of Human Resources & Diversity

Corey Michael Poches Director of Marketing, Hondros Family of Companies Director of Marketing, Sales, and Growth

Christopher Todd Barrett Controller, Hondros Family of Companies Director of Finance Source: Application section 20




D18-5028 FarmaceuticalRX LLC Limited Liability Company

2124 Penn Avenue Pittsburgh PA 15222 407-256-5307 [email protected]



FarmaceuticalRx Westmoreland


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Rebecca Lynne Myers Business Executive and Attorney Chief Executive Officer Joy Elisa Bochner Nutritionist Director of Health and Wellness Dietrich A Stephan Professor and CEO of LifeX Ventures Chief Science Officer










MedLeaf Allegheny







D18-5030 Avita, LLC Limited Liability Company

333 East Carson Street Pittsburgh PA 15219 412-362-0309 412-362-0319 [email protected]



Avita Allegheny



Jacob Daniel Voelker Small Business Owner Director of Operations; Chairman of Compliance Committee

Annette D. Boyer Registered Pharmacist Chief Medical Director Craig Steven Blank Director of Investment Office Chief Financial Officer, Principal

Michael Scott Bernstein President – Woodland Management Investment Office

Chief Executive Officer; Principal; Advisory Board

Eric Dean Haberman small business owner Chief Operating Officer, Principal, Advisory Board

Stanley M Marks MD Physician, Chairman, UPMC Care Center; Chief of Division of Hematology/Oncology UPMC Shadyside Financial Backer, Advisory Board

Gabriel Alan Perlow Chief Executive Officer - PurePenn General Counsel; Principal; Advisory Board

Sabrina Lee Noah Executive Vice President of Government and Regulatory Affairs - Moxie

Director of Regulatory Affairs and Chief Compliance Officer, Principal

Jordan Roger Lams CEO- Moxie Chief Experience Officer, Principal Kevin Patrick Marrone President – Sales at Moxie Director of Sales, Principal

Steve Frederick Halpern President – Woodland Management Director of Community Affairs, Advisory Board

Charles Sidney Perlow Principal, McKnight Realty Partners Financial Backer Daniel Gordon Weinstein CEO - Specialty Pharma Advisory Board, Financial Backer



First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Raymond Edward Boyer CFO- PurePenn Advisory Board, Financial Backer David William Golding Pharmacist Financial Backer Debra B Krasnow Pharmacist Advisory Board, Financial Backer Carlos M Aquino DEA Compliance Specialist Advisory Board, Financial Backer Zev Stuart Scherl Healthcare Financial Backer Craig H Cohen Dunn Meadows Pharmacy Financial Backer Bryan Elliot Bloom Dunn Meadow Pharmacy Financial Backer Sydney Anne Snyder investor Financial Backer Zachary E Snyder Investor Financial Backer Duke Wanhsing Fu CEO – Green Therapeutics Financial Backer Michael Anthony Tulimero Operations Manager - Moxie Financial backer Anthony Carl Santilli Business owner Financial Backer Scott Eric Tobe Business Owner CEO Patricia Ann DellaMea small business owner financial backer Marc Lee Tannenbaum small business owner financial backer Linda Reel Halpern Social Worker financial backer Timothy John Thompson CEO - Cross Creek Pictures Financial Backer Rebecca C Snyder Managing Partner – Franco Associates Financial Backer Amy S Weiss self-employed Financial Backer David Mark Rosenblatt Chairman - Dunn Meadow Pharmacy Advisory Board, Financial Backer





D18-5031 GPartners LLC Limited Liability Company

1680 Beechwood Blvd Pittsburgh PA 15217 720-335-1386 [email protected]



GPartners LLC Allegheny


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Gali Nuriel Medical Marijuana Owner & Licensee Chief Quality Assurance Officer/Principal Elizabeth Stadtlander Marriage and Family Therapist General Manager/Principal Julie Yonek Registered Nurse Outreach Director/Principal








Agape Total Health Care Cambria Agape Total Health Care Armstrong


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Russell Kuchta Pharmacist President/CEO Thomas Huzela Realtor Chief Construction Officer





D18-5033 Holistic Pharma, LLC


339 W Lancaster Ave, Suite 200 Haverford PA 19041 610-505-6200 [email protected]



Liberty Allegheny


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Alixandra Jen Batoff Morgan Attorney Director Community Affairs, Owner Staci Beth Walkes Aftercare Program Director of Human Resources, Owner Keith Alan Morgan Business Executive Director of Administration/Financial Backer Richard Gary Genderson Retail Owner Director of Operations Joshua Ian Genderson Retail Owner CEO Louis John Giannotti Rph. Pharmacist Director of Dispensary Operations Nancy Sampson Lindberg Accountant Director of Accounting & Administration Joshua Albert Bell Medical Cannabis Operations/Management Chief Operating Officer Megan Shank Medical Sales Director of Public Relations Adam Richard Kavalier Scientist Chief Scientific Officer James Nelson Kahn Meical Cannabis Management Vice President of Operations Ismael Vince Canalas Security Director of Security Morgan Greenhouse Genderson Interior Design and Real Estate Director of Quality Assurance Cherie Parungo Erkmen PhD Thoracic Surgeon Medical Advisory Board Member Kadir Erkmen PhD Neurosurgeon Medical Advisory Board Member Jannie Kaman Lau Lawyer Director of Diversity Mitesh Subash Patel PhD Physician Medical Advisory Board Chair William Joseph Albany Retired Chief of Police Senior Security Director



First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Tejas Ajmeri Accountant Director of Treasury


Sherry Olin Lemonick Esq Attorney General Counsel Carol Lynn Kopiak RpH Wellness Director Pharmacist/Manager Stephen William Miller Cannabis Cultivator Inventory Manager Gabriel Andrei Torres Store Manager Store Manager Uday Jagdev Gohel RpH Pharmacist Manager of Dispensary Operations Susan Elizabeth Phillips Public Affairs Professional Advisory Board Chair Rachel Genderson Dispensary Manager Dispensary Manager Ali Haidari-Tabrizi Property and Store Development Director of Facility Design







339 W. Lancaster Ave. Suite 200 Haverford PA 19041 610-505-6200 [email protected]



Sunrise Beaver


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Alixandra Jen Batoff Morgan Attorney Director of Community Affairs, Owner Staci Beth Walkes Aftercare Program Director of Human Resources, Owner Keith Alan Morgan Business Executive Director of Administration/Financial Backer Richard Gary Genderson Retail Owner Director of Operations Joshua Ian Genderson Retail Owner CEO Louis John Giannotti Rph. Pharmacist Director of Dispensary Operations Nancy Sampson Lindberg Accountant Director of Accounting & Administration Joshua Albert Bell Medical Cannabis Operations/Management Chief Operating Officer Ismael Vince Canalas Security Director of Security Morgan Greenhouse Genderson Interior Design and Real Estate Director of Quality Assurance Jannie Kaman Lau Lawyer Director of Diversity William Joseph Albany Retired Chief of Police Senior Security Director Tejas Ajmeri Accountant Director of Treasury


Sherry Olin Lemonick Esq Attorney General Counsel Carol Lynn Kopiak RpH Wellness Director Pharmacist/Manager Stephen William Miller Cannabis Cultivator Inventory Manager



First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Gabriel Andrei Torres Store Manager Store Manager Uday Jagdev Gohel RpH Pharmacist Manager of Dispensary Operations Maria Ann Bartolozzi MD Anesthesiologist Chief Medical Director Patricia Nasshorn Healthcare Executive Vice President of Patient Relations Catherine Gorman Director of Public Services Michelle J. McCarthy RN/ case manager/ admission nurse Professional Advisory Board Member Susan Elizabeth Phillips Public Affairs Professional Advisory Board Chair Rachel Genderson Dispensary Manager Dispensary Manager Ali Haidari-Tabrizi Property and Store Development Director of Facility Design









RISE Latrobe Westmoreland







D18-5036 Holistic Pharma, LLC Limited Liability Company




Liberty Beaver


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Alixandra Jen Batoff Morgan Attorney Director Community Affairs, Owner Staci Beth Walkes Aftercare Program Director of Human Resources, Owner Keith Alan Morgan Business Executive Director of Administration/Financial Backer Richard Gary Genderson Retail Owner Director of Operations Joshua Ian Genderson Retail Owner CEO Louis John Giannotti Rph. Pharmacist Director of Dispensary Operations Nancy Sampson Lindberg Accountant Director of Accounting & Administration Joshua Albert Bell Medical Cannabis Operations/Management Chief Operating Officer Megan Shank Medical Sales Director of Public Relations Adam Richard Kavalier Scientist Chief Scientific Officer James Nelson Kahn Medical Cannabis Management Vice President of Operations Ismael Vince Canalas Security Director of Security Morgan Greenhouse Genderson Interior Design and Real Estate Director of Quality Assurance Cherie Parungo Erkmen PhD Thoracic Surgeon Medical Advisory Board Member Kadir Erkmen PhD Neurosurgeon Medical Advisory Board Member Jannie Kaman Lau Lawyer Director of Diversity Mitesh Subash Patel PhD Physician Medical Advisory Board Chair William Joseph Albany Retired Chief of Police Senior Security Director




D18-5037 Keystone Relief Centers, LLC


5600 Forward Avenue Pittsburgh PA 15217 412-422-0420 [email protected]



Aliquippa Site Beaver Saw Mill Run Site Allegheny


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Robert Capretto DMD Business Entrepreneur/Investor Chief Executive Officer Samuel Britz Corporate Executive Chief Operating Officer & Chief Financial Officer Elisa Sanders Co-Founder – Urban Lending Solutions Human Resources and Director of Diversity





D18-5038 Cambria Dispensary Group, LLC


117 Silver Birch Road Hollidaysburg PA 16648 814-946-

4405 814-946-1396 [email protected]



Cambria Dispensary Cambria


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Barbara L. Grappone Retired managing member










MedLeaf Allegheny






REGION 6 – NORTHWEST Business Information





Boca Raton FL 33432 561-620-3600 561-717-

7122 [email protected]



Bloom Medicinals of PA, LLC Crawford










D18-6002 Global Resource Operations, LLC


6877 US 322 Franklin PA 16323 615-300-4133 615-255-6037 [email protected]



Global Resource Operations Venango


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business April Amanda Arrasate Attorney CEO Kerrie B Badertscher Horticulturist CCO William Daniel Fritz Medical Doctor Chief Medical Officer Peri W. Higgins Financial Advisor CFO Mary A Parker Attorney Chief Legal Counsel, Board Chair Nickolas P Palacios Entrepreneur, consultant Chief Compliance Officer Jahan Phillip Marcu PhD Biologist, ASA/PFC Educator Board Member, Education and Compliance Advisor










Health For Life Lawrence


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Elizabeth Stavola Operations Owner/CEO/Financial Backer Tenisha Williams Community Outreach VP Julie Winter General Manager - Dispensary COO Jason Gully COO Operations Director Rose Schultz Assistant Manager Director of Inventory Management Krishna Singh Nuclear Scientist Chairman of the Board of Directors

Leo Marcel Bridgewater LMR Technician Director of Community Outreach and Veteran Relations

Tenisha Kerra Victor Project Manager Victor Madril Marketing Director Kyle Aaron Renz Patient Consultant Kristen Shaunte Dade-Simms HR admin Trisha Scott Chris Wendell Collins Director Miles Douglas Thompson Assistant project scientist Kimberly Wagner Dispensary Manager Ashli Gaulette Nurse Caroline Clark Retired Captain Saleha Qamer Awan Finance Associate





D18-6004 New Life Farms LLC


1121 Brandywine Dr Hermitage PA 16148 724-685-1376 724-269-5095 [email protected]



New Life Farms Mercer


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Bridget Ann Davis Owner/Operator CEO Jed Evan Davis VP & General Manager CFO Christina Lynn Robinowitz Billing Manager COO Alan Joseph Robinowitz President/Owner VP of Sales Janet Laurie Lieber Secretary/Treasurer-Systems & Space Treasurer









GTW3 Lawrence


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Melanie Kohan Community Outreach Volunteer Patient Outreach Director Amber Richards Community Outreach Volunteer Community Outreach Director Christine Lubimir Consultant CEO/President John Richard Richards Jr. Construction COO Robert Veinovich Jr. Director of Security Principal/Founder Brenda Bowe Sebring Attorney General Council Jill Zimbicki Pharmacist Pharmacist

Lisa M Kolarac Federal Tax Force/DEA Chief Diversity Officer/Deputy Director of Security









Mercer County Dispensary Facility Mercer


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Charlie Ian Bachtell Attorney/CEO CCO Brian McCormack Founder / Cresco Principal Robert Sampson COO / Cresco Executive VP of Grow/Processing Operations Dominic Sergi CEO / Clear Height Properties Principal Joseph Caltabiano Business Development Director Business Development Director David Michael Hartley CEO / President CFO David Kent Hartley Business Manager CEO Michael Trent Hartley Founder / Palmetto Research COO LeAnn Hartley Advocate/Homemaker Principal Karen Jane Hartley Retired Principal Allison Adleman Owner / Unlimited Principal Nicole Leah Burton Teacher Principal Kayvan Khalatbari Founder / Denver Relief Consulting Executive VP of Dispensary Operations





D18-6007 Hyde Holistics, LLC


293 Tanglewood Drive

New Castle PA 16105 (724)652-1451 (724)657-

0592 [email protected]



Hyde Holistics Lawrence


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business George Minas Stefanis Pharmacist CEO Anna Marie Stefanis Office Manager CFO Jillian Paulina Bowker Pharmacist COO





D18-6008 Franklin BioScience - NC, LLC





BEYOND / HELLO Lawrence


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Blythe Lynne Huestis President President, Operator Robert Pearson Roche Jr. President Chief Experience Officer, Principal, Operator Andrew Michael Weiss Real Estate Developer/Investor Chief Executive Officer, Principal, Operator Cyrus Parviz Farudi Entreprenuer Chief Strategy Officer Robert Eugene Pease Chief Financial Officer Chief Financial Officer, Principal, Operator Patricia Ann Haley Program Director Co-Director of Security, Operator Robert Steve Stoud Law Enforcement Co-Director of Security, Operator Kevin Douglas Patrick VP/CFO Diversity Committee, Principal, Operator John M Dischert Pharmacist Southeast Regional Manager, Operator Amanda Lynn DeCotes Pharmacist Co-Director of Pharmacy, Operator Michele Catalano-Musheno Pharmacist Northeast Regional Manager, Operator Faisal Mohammed Faseehuddin CPA Director of Finance and Accounting, Operator Helena C Yardley Scientist Director of Science and Research, Operator

Myra Jurhee Zerr Practitioner Outreach Director of Physician Outreach & Education, Operator









William R. Sasso Attorney General Counsel Jack D. Korbutov Compounding Pharmacist Director of Pharmacy, Principal, Operator Malik Majeed President, CEO, General Counsel Director of Facilities, Principal, Operator Jonathan J Fernandez Chief Commercial Officer, Franklin Director of Kimberly Anna Stuck Founder, Cannabis Consulting Director of Compliance, Operator

Edward Joseph Hazzouri Attorney, Lobbyist Director of Government Relations, Principal, Operator

Mita Heble Pharmacist Co-Director of Elise Robinson Pizzi Gerontological Nurse Practitioner Director of Patient Affairs, Principal, Operator Jean B. Clifton CFO, COO Director of Finance, Principal, Operator Beth Baughman DuPree Physician Director of Philanthropy, Principal, Operator

John N. Wozniak Public Servant Director of Public Strategy, Southwest, Operator


Michael L. Levin Physician Co-Chair Medical Advisory Board, Principal, Operator

Daniel J. Lebovic Physician Member of Medical Advisory Board, Financial Backer

Alexander Joseph Hazzouri President, CEO Director of Public Strategy, Northeast, Operator





D18-6009 Next Level Care, LLC Limited Liability Company

7092 Stoney Trace Lane Erie PA 16510 (814) 490-8800 [email protected]



Next Level Care Erie



Gregory Joseph Kujawa PharmD Pharmacist Owner, Managing Member, Executive Manager

Nathan Thomas Radicella PharmD Pharmacist Owner, Managing Member, Executive Manager

Alberto Anthony Melaragno PharmD Pharmacist Diversion Officer

Rebecca M. Wise PharmD Associate Professor of Pharmacy Practice at LECOM, Pharmacist Director of Education

Rebecca L. Nurse Director of Program Management at Erie Insurance

Director of Marketing and Communications

Matthew James Fatica CFO at Champion Bolt Inc. Business Controller Source: Application section 20




D18-6010 Harvest of Northwest PA, LLC





Harvest Lawrence












PharmaCann Penn LLC Lawrence







D18-6012 SunFrea Wellness, LLC


147 Buckingham Drive Pittsburgh PA 15237 412-559-7706 [email protected]



Lawrence Erie


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Dustin William Freas CEO Novus Pain Management Principal/Financial Backer/Officer William Erdice Freas CEO Careventures Principal/Financial Backer/Officer Kevin Casey Gibbs Managing Partner, Merida Capital Partners Principal/Financial Backer/Officer Harris Hart Silver Entrepreneur Principal/Financial Backer/Officer

Michael Anthony Sundo Esq. COO, Longboat Capital Principal/Financial Backer/ Chief Financial Officer

Damean William Freas D.O. Chairman, Maryland Board of Physicans Operator/Chief Science Officer Kimberly Ann Brown PhD President, Advent Laboratories Operator/ Chief Executive Officer





D18-6013 Sunset Hills Medical, LLC


1120 Three Degree Road Butler PA 16002 724-612-8504 724-453-2325 [email protected]



Sunset Hills Medical, LLC Clarion


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Colleen Elizabeth Ekas Director of Marketing Pres / CEO Kurt Martin Baumgartel Sr Health Executive VP / COO Daniel Frederick Allen CFO CFO / Treas Tyson Lee Hilovsky Financial Advisor Secretary Phillip David Plant CEO VP





D18-6014 Green Standard Limited Liability Company

1229 East Colona Street

Philadelphia PA 19125 (774) 551-6875 (774)551-6875 [email protected]



Butler Avenue Dispensary Lawrence


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Tomas Gabriel Casals Engineer Chief Development Officer Shane Patrick Kenney Medical Marijuana Executive Chief Financial Ethan Michael Moon Medical Marijuana Executive Chief Operating Officer Donald James Kenney Corporate Executive Chief Executive Officer Kristi Elena Fults Social Worker Head of Human Resources





D18-6015 Calumet Care, LLC Limited Liability Company

33 North LaSalle Street, Suite 3200

Chicago Illinois 60602 773-383-3177 [email protected]



Calumet Care Venango


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Robert Weisman Entrepreneur / Lawyer Chief Executive Officer





D18-6016 GPartners LLC Limited Liability Company

1680 Beechwood Blvd Pittsburgh PA 15217 720-335-1386 [email protected]



GPartners LLC Erie


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Gali Nuriel Medical Marijuana Owner & Licensee Chief Quality Assurance Officer/Principal Elizabeth Stadtlander Marriage and Family Therapist General Manager/Principal Julie Yonek Registered Nurse Outreach Director/Principal





D18-6017 Holistic Pharma, LLC





Liberty Lawrence


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Alixandra Jen Batoff Morgan Attorney Director Community Affairs, Owner Staci Beth Walkes Aftercare Program Director of Human Resources, Owner Keith Alan Morgan Business Executive Director of Administration/Financial Backer Richard Gary Genderson Retail Owner Director of Operations Joshua Ian Genderson Retail Owner CEO Louis John Giannotti Rph. Pharmacist Director of Dispensary Operations Nancy Sampson Lindberg Accountant Director of Accounting & Administration Joshua Albert Bell Medical Cannabis Operations/Management Chief Operating Officer Megan Shank Medical Sales Director of Public Relations Adam Richard Kavalier Scientist Chief Scientific Officer James Nelson Kahn Meical Cannabis Management Vice President of Operations Ismael Vince Canalas Security Director of Security Morgan Greenhouse Genderson Interior Design and Real Estate Director of Quality Assurance Cherie Parungo Erkmen PhD Thoracic Surgeon Medical Advisory Board Member Kadir Erkmen PhD Neurosurgeon Medical Advisory Board Member Jannie Kaman Lau Lawyer Director of Diversity Mitesh Subash Patel PhD Physician Medical Advisory Board Chair William Joseph Albany Retired Chief of Police Senior Security Director




D18-6018 Penn Highlands Apothecary, Inc,. C-Corporation

Box 447, 100 Hospital Avenue

DuBois PA 15801 814-375-6433 814-372-2830 [email protected]



Penn Highlands Apothecary Erie


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Mark Allen Norman Healthcare administration Chief Operation Officer Gregory Paul Bauer Healthcare administration Business Development Officer Brian Scott Kline Healthcare Administration Chief Financial Officer









RISE New Castle Lawrence







D18-6020 CANNABIS SQUARE, LLC


2930 West 22nd Street, Suite 102

Erie PA 16506 814-454-1800 814-464-8930 [email protected]



LeafWell - Meadville Crawford


Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Lisa Marie Rubino Realtor President Wallace John Knox III Attorney Vice-President and General Counsel Marlene DiTullio Mosco Former President of PNC Bank Treasurer Joseph Franklin Lochbaum Owner-Wheelchairs & More Corp. Secretary


Phase II Dispensary Applicant Information · 12/18/2018 · Phase II Dispensary Applicant...

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