Renewal Process

"Responsible Person” is defined in CCMC 11.17.025 as “all owners and operators of a commercial cannabis business, including the Permittee and all officers, directors, managers, or partners, and all persons with authority, including apparent authority, over the premises of the commercial cannabis business.

For any new persons or entities who currently qualify as Responsible Persons, who have not previously submitted the following documents, you are required to submit the following information. Responsible Persons who have previously submitted this information to the City do not need to include this information. For more information on how to submit this information, please contact Cannabis Permitting at (310) 253-5897 or cannabis.permit@culvercity.org.

RP1. Signed Statement

Responsible Person Information Form, signed and completed. If the Responsible Person answers “yes” to “Background Questions” 2(a) or 2(b) or 2(c) on the “Responsible Person Information Form”, attach to the form documentation listing each offense and further explanation, including evidence of rehabilitation/mitigating circumstances. Please see the document, “Culver City Cannabis Business Permit Criminal Background Check Guidelines” for more information on what information to include.  

RP2. Driver’s License (copy)

A photocopy of California driver’s license, California identification card, passport or military ID card. 

RP3. Social Security Card (copy)

A photocopy of Social Security card. If you do not have a social security card, please provide a written explanation. 

RP4. Request for Live Scan Service Form Submitted to Live Scan Provider (copy)

Photocopy of the completed “Request for Live Scan Service” form which was submitted to the Live Scan provider.   

RP5. Receipt from Live Scan Provider (copy)

A receipt for the submitted Live Scan from the Live Scan provider. If the receipt was not provided please upload a written explanation

A. Signed Statement

1. Signed Statement Form, completed and signed by the Primary Applicant Representative.  
2. Responsible Person Signature Form, completed and signed by each Responsible Person affiliated with the applicant. 

B. Community Benefit Reporting Document

PDF document describing what community benefits has your company provided during the previous year, including community service, involvement with community groups or nonprofits.

C. Neighborhood Compatibility Reporting Document

PDF document describing your interactions with neighboring businesses and residences during the past year, both positive and negative. Include any problems and how they were resolved. State if the Permittee’s Community Relations Contact (as described in CCMC 11.17.250) or contact information has changed since the last time the Permittee notified businesses and residences within 600 feet. If so, the permittee will be required to send new community notification/affidavit. 

D. Safety and Security Reporting Document 

PDF document with details on any safety or security issues that arose within the past year. What were the impacts and how were they resolved?  Report and explain any warnings or fines given by the City of Culver City, the County of Los Angeles, the State of California, or the Federal Government.    

E. Business Information Reporting Document

One searchable PDF document with the following information: 

1. Financial statements prepared and signed by a Certified Public Accountant, including the Permittee’s current balance sheet, income statement for the prior 12 month period, and cash flow statement for the previous 12 month period. 
2. The current number of full and part-time employees working for the Permittee in Culver City.  
3. Permittee’s revenue projections for the next three years. 
4. Amount of taxes remitted by the Permittee to City of Culver City during the previous 12 months, as well as payment dates. 

F. Insurance Information

PDF document containing copies of current, duly executed Certificate(s) of Insurance that meets the “Commercial Cannabis Business Insurance Requirements”. For auto insurance, if the company owns no vehicles, and insurance is for hired and non-owned autos only, include a one page signed statement that your company does not and will not own any vehicles. Note that if this changes in the future, you will immediately notify the City and provide the City evidence that coverage has been added for owned automobiles.    

G. State of California Cannabis Business License 

A copy of your current California State Cannabis Business License(s) for Culver City.  

H. State of California Seller’s Permit 

A copy of your current California Seller’s Permit. 

I. Culver City Business Tax Certificate 

A copy of your current Culver City Business Tax Certificate.  

J. Responsible Person List 

PDF document with a current list of Responsible Persons and description of their roles.   

K. Equity Ownership Information Description Document 

Describe the equity ownership of the Permittee back to the individual level, for all individuals/entities owning 10% or greater equity. Use the below example as a model. Equity for each entity must add to 100%. Individuals/entities owning <10% equity may be grouped together as “Other Equity Holders”. You must trace back ownership of all entities listed until owners of each entity are shown as either individuals or “other equity holders”. 

L. Lease/Option/Title/Deed 

A copy of the current lease (if the Permittee leases the property) or title/deed (if the Permittee owns the property).

M. Cannabis Waste Collection

Provide the following documents as one PDF:

 Cannabis Waste Collection Form- completed and signed by the Primary Applicant Representative. 

 Cannabis Waste Report- completed and signed by the Primary Applicant Representative.