Cook County Cannabis Development Grant

Additional Owners Form

Please read:

This form is for businesses who have more than 7 owners. Please note this form is also limited to only 7 owner submissions.


If you have more than 7 additional owners (over 14 owners total) to provide information for, please resubmit this form as many times as needed.


For additional information, visit our webpage cookcountyil.gov/service/cannabis to review the Getting Started Guide for further descriptions of the required documents.


Please also review the FAQs for more detailed information about the Program.


If you need assistance or have questions about the CCC Development Grant required documents, please reach out to cannabis.oed@cookcountyil.gov.

This must match the name of your business as listed on your initial application

This number must match the EIN above and provided on your application

##-#######

This number must match the EIN above and provided on your application

##-#######

Before you continue:

This form is for businesses that have already submitted their application for the Cook County Cannabis Development Grant and supplied the information requested for the first 7 owners of the business, and have additional owners to add information for.


Please DO NOT re-enter information for the first 7 business owners.

%

Please provide the building number, direction, and street

Optional

Unit or Suite number, if applicable


Is there a 9th owner of the business?*
%

Please provide the building number, direction, and street

Optional

Unit or Suite number, if applicable


Is there a 10th owner of the business?*
%

Please provide the building number, direction, and street

Optional

Unit or Suite number, if applicable

Is there an 11th owner of the business?*
%

Please provide the building number, direction, and street

Optional

Unit or Suite number, if applicable


Is there a 12th owner of the business?*
%

Please provide the building number, direction, and street

Optional

Unit or Suite number, if applicable

Is there a 13th owner of the business?*
%

Please provide the building number, direction, and street

Optional

Unit or Suite number, if applicable

Is there a 14th owner of the business?*
%

Please provide the building number, direction, and street

Optional

Unit or Suite number, if applicable

If you have additional business owners, you may submit this form as many times as needed.

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