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Questions? Please contact us at:

reporting.mca@maryland.gov

849 International Drive 4th Floor, Suite 450

Request to Transfer Ownership Interest in a Medical Cannabis License

License Information

License Type

Name of Licensee

Transferee Information

Name of the Proposed Transferee

Upload a complete capitalization table identifying the ownership structure of the licensee pre -transfer and post - transfer.

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Is the proposed transfer for an ownership interest of 5 percent or more?

Upload the three most recent tax returns filed by the transferee if applicable, based on date of formation.

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Criminal History Record

The Administration must receive the criminal history record information for any proposed transfer of 5% or more of the license or the entity holding the license. If the transferee is an entity, the criminal history record information must be submitted for any individual holding 5% or more of the transferee entity. This applies to publicly traded and privately held entities. 

“Criminal history record information” consists of the results of a fingerprint check through Maryland Criminal Justice Information Services (CJIS) and the results of a fingerprint check through the Federal Bureau of Investigation (FBI). 

An individual who is required to provide criminal record history information may report to any CJIS location in Maryland for fingerprinting and request that a copy of the results be sent to the Administration by including the following information on the Livescan Application:

  • ORI # MD920525Z

  • Agency Authorization # 2100001956

A list of CJIS locations in Maryland is available here: https://www.dpscs.state.md.us/publicservs/fingerprint.shtml    

If an individual lives outside of Maryland and is unable to report to a CJIS location in Maryland for fingerprinting, that individual should email enforcement.mmcc@maryland.gov for further instruction. The subject line of the email should read "Out-of-State Fingerprint Check," and the individual should include their name and mailing address in the email.

Next Steps

Upon receipt, MCA staff will conduct an initial review to determine whether all required information has been provided and whether any additional information is necessary to evaluate the request. The request will not be reviewed by the Administration until all required information is submitted, and required fees paid. 

Depending on the terms and complexity of the proposed transfer, the review and approval process may take 45 days or more. All proposed transfers must comply with Health-General Article, §§ 13-3301-13-3316, and COMAR 14.17.06.04. A proposed transfer may not take effect until formal approval is received.

 

Questions? 

Please direct any questions to reporting.mca@maryland.gov

Attestation

Upload the "Ownership & Control Attestations of Prospective Transferee".

Click Here to Upload

Click here to print the "Ownership & Control Attestations of Prospective Transferee".

Note: Required for proposed transfers of 5 percent or more in a license or the entity who holds a license. All completed attestation forms must be combined into a single PDF and uploaded above. 

Upload the "Criminal History & Financial Attestations by Prospective Transferee".

Click Here to Upload

Click here to print the "Criminal History & Financial Attestations by Prospective Transferee".

Note: Required for proposed transfers of 5 percent or more in a license or the entity who holds a license. All completed attestation forms must be combined into a single PDF and uploaded above. 

I attest that the information reported on this form is accurate and complete as of this date: (Click on the box to select a date from the calendar)

Date Picker

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Choose how to sign