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JASON LILLY ASSOCIATION, A CALIFORNIA NONPROFIT MUTUAL BENEFIT CORPORATION-2017
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JASON LILLY ASSOCIATION, A CALIFORNIA NONPROFIT MUTUAL BENEFIT CORPORATION-2017
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Last modified
1/2/2018 10:08:09 AM
Creation date
1/2/2018 9:55:31 AM
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Contracts
Company Name
JASON LILLY ASSOCIATION, A CALIFORNIA NONPROFIT MUTUAL BENEFIT CORPORATION
Contract #
A-2017-369-03
Agency
PLANNING & BUILDING
Council Approval Date
11/9/2017
Expiration Date
12/31/2020
Destruction Year
2025
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CALIFORNIA ALL- PURPOSE <br />CERTIFICATE OF ACKNOWLEDGMENT <br />A notary public or other officer completing this certificate verifies only the identity <br />of the individual who signed the document to which this certificate is attached, <br />and not the truthfulness, accuracy, or validity of that document. <br />State of California <br />County of Orange } <br />On December 26, 2017 before me, Nadi Abrahem Notary Public <br />are nsennama an lit ei�Rcer <br />personally appeared Jason Clark Lilly <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose <br />name(-&)` Is re subscribed to the within instrument and acknowledged to me that <br />the/they executed the same in`is er/their authorized capacity(ies), and that by <br />hasher/their signature( on the instrument the person(s-), or the entity upon behalf of <br />which the person(s-) acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of the State of California that <br />the foregoing paragraph is true and correct. <br />WITNESS my hand and official seal. NADI ABIR ; <br />e : Commission N6,2156283 <br />NOTARY PUBLIC -CALIFORNIA <br />* ORANGE COUNTY <br />Notary Publ c Signature (Notary Public Seal) My Comm. Expirea JULY 9,,20W <br />ADDITIONAL OPTIONAL INFORMATI <br />DESCRIPTION OF THE ATTACHED DOCUMENT <br />Operating Agreement <br />(Title or description of attached document) <br />Cannabis Retail Business <br />(Title or description of attached document continued) <br />Number of Pages 11 Document Date 12/26/2017 <br />CAPACITY CLAIMED BY THE SIGNER <br />❑ Individual (s) <br />❑ Corporate Officer <br />(Title) <br />❑ Partner(s) <br />❑ Attorney -in -Fact <br />❑ Trustee(s) <br />❑ Other <br />wwN.NotaryClasses.com 800-873-9865 <br />INSTRUCTIONS FOR COMPLETING THIS FORM <br />`7N Thisform complies with current California statutes regarding notary wording and, <br />jfneeded, should be completed and attached to the document Acknowledgments <br />from other states may be completed for documents being sent to that state so long <br />as the wording does not require the Cal forma notary to violate California natmy <br />taw. <br />• State and County Information must be the State and County where the document <br />signer(s) personally appeared before the notary public for acknowledgment, <br />• Date of notarization must be the date that the signer(s) personally appeared which <br />must also be the same date the acknowledgment is completed. <br />• The notary public must print his or her time as it appears within his or her <br />commission followed by a comma and then your tide (notary public). <br />• Print the name(s) of document signer(s) who personally appear at the time of <br />notarization. <br />• Indicate the correct singular or plural forms by crossing off incorrect forms (Le, <br />he/she/they,— is /are ) or circling the correct £Dins. Failure to correctly indicate this <br />information may lead to rejection of document recording. <br />• The notary seal impression must be clear and photographically reproducible. <br />Impression must not cover text or lines. If seal impression smudges, re -seal if a <br />sufficient area permits, otherwise complete a different acknowledgment form. <br />• Signature of the notary public must match the signature on file with the office of <br />the county clerk. <br />Additional information is not required but could help to ensure this <br />acknowledgment is not misused or attached to a different document, <br />Indicate title or type of attached document, number of pages and date, <br />Indicate the capacity claimed by the signer. If the claimed capacity is a <br />corporate officer, indicate the title (i.e. CEO, CFO, Secretary), <br />• Securely attach this document to the signed document with 4 staple. <br />
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