Form MJ16-8070 "Change in Business Structure Notification" - Oregon

What Is Form MJ16-8070?

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 October 15, 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 MJ16-8070 by clicking the link below or browse more documents and templates provided by the Oregon Liquor Control Commission.

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Download Form MJ16-8070 "Change in Business Structure Notification" - Oregon

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OREGON LIQUOR CONTROL COMMISSION
Change in Business Structure Notification
What is this form?
Certain changes of business structure require that you notify OLCC. See OAR 845-025-1160(4) and OLCC’s
Guidance on
Disclosing Interests in a Recreational Marijuana
Business. Use this form if you are making a change of less than 51% and:
Any individual or legal entity that met the definition of a “licensee” is being removed from the business structure; or
Any individual or legal entity that will meet the definition of an “applicant” is being added to the business structure.
You must notify OLCC prior to making the change, unless it is a change in principal officers or shareholders of a publicly-
traded corporation. You must notify OLCC within 60 calendar days of changes in a publicly-traded corporation as
described in OAR 845-025-1160(4). You do not need to receive approval from OLCC prior to making the change.
If you are making a change of ownership of 51% or more, you must file a new application.
Submit this notification via email to:
marijuana.licensing@oregon.gov
Section 1 – License Change Information
License Number:
Notification Date:
Licensee Name:
I am requesting to remove the following individuals or legal entities from my license because
they no longer meet any of the qualifications described in OAR 845-025-1045(3):
I am requesting to add the following individuals or legal entities to my license because they now
meet one or more of the qualifications described in OAR 845-025-1045(3):
Section 2 – Signature
By signing this form, I attest that:
If I am adding any individual that will meet the definition of an “applicant” to my license, I am submitting an
Individual History
form for each individual who is an applicant for this license as described in OAR 845-025-1045.
I understand that OLCC will review this information. If OLCC requires an individual disclosed above to submit fingerprints
for a background check, I agree to pay the $50 fee described in OAR 845-025-1060. If OLCC determines that an
individual or legal entity disclosed above is unlicensable, I understand that may remove that individual or legal entity from
the business and that if I do not remove that individual or legal entity from the business, the Commission will propose
license suspension or revocation under
OAR
845-025-1115.
Signature:
Date:
Name:
Title:
[FORM MJ 16-8070] mj_change_structure (rev 20201015) Page 1 of 1
OREGON LIQUOR CONTROL COMMISSION
Change in Business Structure Notification
What is this form?
Certain changes of business structure require that you notify OLCC. See OAR 845-025-1160(4) and OLCC’s
Guidance on
Disclosing Interests in a Recreational Marijuana
Business. Use this form if you are making a change of less than 51% and:
Any individual or legal entity that met the definition of a “licensee” is being removed from the business structure; or
Any individual or legal entity that will meet the definition of an “applicant” is being added to the business structure.
You must notify OLCC prior to making the change, unless it is a change in principal officers or shareholders of a publicly-
traded corporation. You must notify OLCC within 60 calendar days of changes in a publicly-traded corporation as
described in OAR 845-025-1160(4). You do not need to receive approval from OLCC prior to making the change.
If you are making a change of ownership of 51% or more, you must file a new application.
Submit this notification via email to:
marijuana.licensing@oregon.gov
Section 1 – License Change Information
License Number:
Notification Date:
Licensee Name:
I am requesting to remove the following individuals or legal entities from my license because
they no longer meet any of the qualifications described in OAR 845-025-1045(3):
I am requesting to add the following individuals or legal entities to my license because they now
meet one or more of the qualifications described in OAR 845-025-1045(3):
Section 2 – Signature
By signing this form, I attest that:
If I am adding any individual that will meet the definition of an “applicant” to my license, I am submitting an
Individual History
form for each individual who is an applicant for this license as described in OAR 845-025-1045.
I understand that OLCC will review this information. If OLCC requires an individual disclosed above to submit fingerprints
for a background check, I agree to pay the $50 fee described in OAR 845-025-1060. If OLCC determines that an
individual or legal entity disclosed above is unlicensable, I understand that may remove that individual or legal entity from
the business and that if I do not remove that individual or legal entity from the business, the Commission will propose
license suspension or revocation under
OAR
845-025-1115.
Signature:
Date:
Name:
Title:
[FORM MJ 16-8070] mj_change_structure (rev 20201015) Page 1 of 1