Form MJ20-1003 "Marijuana Renewal Application" - Oregon

What Is Form MJ20-1003?

This is a legal form that was released by the Oregon Liquor Control Commission - a government authority operating within Oregon. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 10, 2020;
  • The latest edition provided by the Oregon Liquor Control Commission;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form MJ20-1003 by clicking the link below or browse more documents and templates provided by the Oregon Liquor Control Commission.

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Download Form MJ20-1003 "Marijuana Renewal Application" - Oregon

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OREGON LIQUOR CONTROL COMMISSION
Marijuana Renewal Application
What is this form?
Marijuana licensees are required to renew their licenses annually. Submitting a renewal application is a two-
step process:
1. Fill out this renewal application form.
2. Submit your renewal, including the application fee and license fee, through the online portal at
https://apps.oregon.gov/OLCC/Marijuana/elicense/. When you log into your license dashboard, there
will be a “Renew” button if you are within 90 days of license expiration.
Making changes to a licensed business
Except for Producers requesting to change their Production Tier or Production Type, no changes may be
submitted as part of your renewal application. To make any other, visit
marijuana.oregon.gov
to find the
appropriate change request form and submit that information to
marijuana.licensing@oregon.gov
as provided
in the instructions for the form.
Federal Employer Identification Number and Business Identification Number
All businesses in Oregon that do not offer an employer-sponsored retirement plan will be required to register
for OregonSaves. In order to serve legal marijuana businesses in Oregon, the OLCC and Oregon State
Treasury need to collect your business' Federal Employer Identification Number (FEIN) and your Business
Identification Number (BIN). Please fill in these fields on the renewal application form.
Section 1 – Business Information
Licensee Name:
License ID Number:
Contact Name:
BIN:
Contact Email:
FEIN:
Section 2
Acknowledgement
The Oregon Liquor Control Commission requires the licensee to read and affirm the following with a signature:
I have reviewed all information being submitted as part of my renewal application. All
information submitted is true and correct to the best of my knowledge.
For licensees that are legal entities, only one signature is required. The following persons may sign:
For LLCs: A member of the LLC or a manager of a manager-managed LLC
For Corporations: An officer of the corporation
For Limited Partnerships: A general partner of the partnership
For Sole Proprietorships: The individual who is the sole proprietor
Signature:
Date:
Name:
Title:
[FORM MJ 20-1003] mj_app_all_renewal (rev 20200410) Page 1 of 1
OREGON LIQUOR CONTROL COMMISSION
Marijuana Renewal Application
What is this form?
Marijuana licensees are required to renew their licenses annually. Submitting a renewal application is a two-
step process:
1. Fill out this renewal application form.
2. Submit your renewal, including the application fee and license fee, through the online portal at
https://apps.oregon.gov/OLCC/Marijuana/elicense/. When you log into your license dashboard, there
will be a “Renew” button if you are within 90 days of license expiration.
Making changes to a licensed business
Except for Producers requesting to change their Production Tier or Production Type, no changes may be
submitted as part of your renewal application. To make any other, visit
marijuana.oregon.gov
to find the
appropriate change request form and submit that information to
marijuana.licensing@oregon.gov
as provided
in the instructions for the form.
Federal Employer Identification Number and Business Identification Number
All businesses in Oregon that do not offer an employer-sponsored retirement plan will be required to register
for OregonSaves. In order to serve legal marijuana businesses in Oregon, the OLCC and Oregon State
Treasury need to collect your business' Federal Employer Identification Number (FEIN) and your Business
Identification Number (BIN). Please fill in these fields on the renewal application form.
Section 1 – Business Information
Licensee Name:
License ID Number:
Contact Name:
BIN:
Contact Email:
FEIN:
Section 2
Acknowledgement
The Oregon Liquor Control Commission requires the licensee to read and affirm the following with a signature:
I have reviewed all information being submitted as part of my renewal application. All
information submitted is true and correct to the best of my knowledge.
For licensees that are legal entities, only one signature is required. The following persons may sign:
For LLCs: A member of the LLC or a manager of a manager-managed LLC
For Corporations: An officer of the corporation
For Limited Partnerships: A general partner of the partnership
For Sole Proprietorships: The individual who is the sole proprietor
Signature:
Date:
Name:
Title:
[FORM MJ 20-1003] mj_app_all_renewal (rev 20200410) Page 1 of 1