A communication transmitted from Louis A. DePasquale, City Manager, relative to Awaiting Report Item Number 18-05, regarding a report Sira Naturals

CITY OF CAMBRIDGE Community Development Department IRAMFAROOQ To: Louis A. DePasquale, City Manager Assistant City Manager for Community Developmeni ^ ^ ^ , ....,-1..^ r /-i 1, Assistant t/ity Manager Sandra Clarke _ _ „ ^ . „. . ..,--,-„.„ „ . . Deputy Director ^e: Policy Order 0-1 dated 1/22/2018 regarding patient demographics and Chief of Administration other operational information from Sira Naturals medical marijuana dispensary Date: April 18, 2018 344 Broadway Cambridge, MA 02139 Voice: [phone removed] Fax:617349-4669 TTY: [phone removed] www.cambridgema.gov Please find attached a report from Sira Naturals (previously Sage Cannabis Inc.) medical marijuana dispensary located at 1001 Massachusetts Avenue regarding patient demographics and other operational data from the dispensary for the period March 15 ~ December 31, 2017. Sira Naturals has also provided the first of three $25,000 annual payments due to the city under their zoning letter of commitment dated April 4, 2016.

5 IRA NATURALS Registered Marijuana Dispensary Operations March 15th " December 31st, 2017 Report to the

>NATl SIRANATURALS The Honorable City Council Michael Dundas City of Cambridge Chief Executive Officer 795 Massachusetts Ave Sira Naturals, Inc. Cambridge, MA 02139 1001 Massachusetts Avenue Cambridge, MA 02138 March 12,2018 In November of 2015, Sira Naturals, Inc. (Sira) petitioned the Cambridge City Counci! to create a new medical marijuana zoning district that would allow access to patients from across the city. On April 25, 2016, with the generous support of the community in Mid-Cambridge and the trust and vision of the City Council, the Medical Marijuana 3 overlay district was created and Sira Cambridge was born. Sira has since renovated and revitalized a neglected retail space at 1001 Massachusetts Avenue, and built a thriving business that employs nearly 30 people. Most importantly, Sira now provides access to cannabis medicines for all registered patients in Cambridge and its surrounding communities in a safe, compassionate and regulated environment. In pursuit of its zoning change, Sira met with neighborhood groups and associations and went door to door introducing its team. Sira executives met with the Community Development Department, Traffic, Parking & Transportation, and the Public HeaKh Department. SEra appeared before the Planning Board twice and made four separate appearances before the City Council in the service of bringing the first medica! marijuana dispensary to Cambridge. During the sometimes-heated discussions on the topic of siting a medical cannabis facility, concerns were raised related to public health and safety and the advisabidty of locating such a facility in the heart of the city, At that time, little was known about the impact of operating a dispensary in an urban area In Massachusetts, fn an effort to foster sound public policy related to the municipal impact of cannabis businesses, and In the spirit of openness and community development, Sira pledged to provide the City of Cambridge with certain data from its ongoing operations. The following report is the fulfillment of that promise. It is the first of its kind in the Commonwealth. The pages that follow describe Sira's operations and the impact that Sira has had on our surrounding community. This report also includes anonymized demographic information about the people who visit the SEra Naturals dispensary. It is with gratitude and enthusiasm that I present this first Report to the City of Cambridge on Slra Naturals' Registered Marijuana Dispensary Operations. I look forward to continuing to work with the city to make our neighborhoods flourish. I encourage ali Interested stakeholders to reach out and learn more about what we do. 1^ Michael Dundas Chief Executive Officer

SIRANATURALS CONTENTS • Statement of Purpose » History of Sira Naturals in the City of Cambridge • Discount Programs • Patient Process and Data Collection Methods • Range of Products • Patient Demographic Data "SIRA NATURALS has truly raised the bar for a medical cannabis company and dispensary. The facility is stunning. The quality is superb, and the staff are truly professionals. Sira ushers in a whole new era in medical cannabis. Finally, a company that understands 'the healing potential of this amazing plant and treats it with respect and dignity." - Patient Review on Fdcebook ) •Mariltiana" is a slang term for the dried !eavas and flowers of the varisUes of the cannabls p!ant Uigi are rich In <te!ta-9 tetrahydrocannabinoi, w THC' -• the primary psychoacllve molscule found frt (he cannabls plani. Throughout Uijs Report, IhBsciantific term'cannabis'will be used except where (ha term "marijuana' Is contained !n a direct quotation or when referencing an offida! tilie. STATEMENT OF PURPOSE /. The purpose of this Report is to inform the City of Cambridge about the ongoing operations of Slra Naturals, inc., Cambridge's first Registered Marijuana1 Dispensary. The medical cannabis industry is highly competitive, and information of the type contained in this Report is not often made public. Sira is providing this information En the spirit of transparency and with the expectation that it will engender a better understanding of the impacts ofcannabis faciiities in the Commonwealth of Massachusetts. The goa! of making this information available is to assist the Cambridge Community Development Department, the Cambridge Planning Board, the Cambridge Health Department, and other city agencies and officials in making appropriate planning decisions regarding the siting and regulation of cannabis facilities. HISTORY OF SlRA NATURALS INC. CAMBRIDGE THE CITY OF ii. SIRA NATURALS is ^ vertically integrated Registered . Marijuana Dispensary (RMD) operating a 5,000-square-foot retaii medical cannabis facility at 1001 Massachusetts Avenue in Cambridge. Sira operations are regulated by the Massachusetts Department of Public Health (MDPH) pursuant to M.G.L Chapter 369, and its implementing regulations at 105 CMR 725.000 etseq. Hi. SIRA NATURALS was the first RMD group to propose that the city's original medical marijuana zoning districts were overly restrictive and petitioned for a new district to be created that would provide access to medical cannabis for all residents of the city. After more than a year of outreach and public process, the MMD-3 zoning district was created by the City Council in AprEi 2016, iv. SIRA NATURALS renovated a below-grade retai! space that had been unoccupied for several years and transformed it into a thriving hub of activity for medical cannabis patients and caregivers. Sira opened its doors to patients on March 15, 2017, Today, the Slra facility employs nearly 30 individuals, and provides access to high quality medical cannabis for all residents of Cambridge and its surrounding communities.

RALS DISCOUNT PROGRAMS Unfortunately, despite it's relatively high cost, health insurance carriers have thus far proven unwilling to provide coverage for medical cannabls patients. Sira Naturals has stepped in to provide discount programs for a variety of patients with special circumstances. VETERANS DISCOUNT (15%) SEra believes that veterans should be honored for their service. Research is finally beginning to show what hundreds of thousands of veterans already know; medical cannabis can help veterans in certain situations. We proudly support our Veterans and offer a 15% discount on alt products alf day, every day. PATIENT HARDSHIP (10%) A patient should never go without medicine for lack of financial resources. Sira offers a 10% discount for patients with a demonstrated financial hardship. Moreover, Sira offers individualized "compassion programs" for those who are truly in need. SENIOR DtSCOU(\fT (10%) As more and more seniors become certified for medical cannabis use, Sira beiieves thatcannabis medicine should not take a bite out of older patients' Income, Patients 65 years of age and over receive a 1 0% discount on all medicafed products at our Cambridge and Somen/ille locations. 51RANATURALS VETERAN'S PROGRAM Sira supports and empowers vcco'ans tis they reorient to life at home. Whether it's a disabiiity, PTSD, depression, or a diffefeni: chtillenge, medical cannobis can often help, Sira recognizes (he extraordinary sacrifices made by members of our armed services every single day. That's why Sira offers its Veterans Discount Program 365 days a year, not jusE on Veteran's Day. '^'.\ :^1 ^\ ^ ^y- ^'^ w w W ;'l'' 15%OFF ALL MEDICATED PRODUCTS SWWMUfffKWS/.'iilVRflDmu At Sira. every day is Veteran's Day! Patients Over 60 50 40 30 20 10 111 60 61 62 63 64 65 66 67 69 70 71 72 73 74 75 76 77 78 79 80+

SIRANATURALS Our Cambridge dispensary is open Monday - Sunday from HAM to 9PM and is located at 1001 Massachusetts Ave. Stop by and meet our friendly and knowledgeable Patient Advocates who are happy to guide you through our extensive offerings. SERVICE CALLS BY tAW ENFORCEMENT: 0 THREATS TO PUBLIC HEALTH AND SAFETY: PATIEMT PROCESSING & DATA COLLECTION v. For a patient to gain access to the Sira retail facility, they must first obtain a medical cannabis certification from a physician (a) who is registered with the MDPH to write medical cannabis certifications; and (b) with whom the patient has a bona-fide patient-physician relationship. A certification specifies an amount ofcannabis medicine a patient may purchase over a certain period of time. vi. Once a patient has acquired a certification, they must register with the MDPH Medical Use of Marijuana Program (MMJ Program) and obtain a MEVfJ Program identification card. The MDPH captures basic patient demographic data at the time of patient registration and shares that data with RMDs for patient verification purposes. w. When a patient arrives at the Sira Naturals Cambridge facility, they must present their MMJ Program ID and another government-issued photo identification to a Sira dispensary agent who verifies (a) that they are an active registrant in the MMJ program; and (b) that they have an allotment of cannabis medicine remaining on their certification. The Sira dispensary agent does this by fogging into the MDPH interoperabte database to check the patient's status in real time. Once verified, the patient is admitted to the facility. vdi. A patient may be denied access to the cHspensary under the following conditions: 1. Patient does not supply additional valid form of identification; 2. Patient certification is expired; 3. Patient has reached their maximum dispensabie iimit; 4. Patient is a threat to public health and/or safety. sx. Upon their first visit. each patient is asked to complete a Patient Acknowledgement form that contains a series of statements related to, among other things, the compliant possession, storage and use of medical cannabis. x. Once a patient has completed the acknowledgement form, they are admitted to the dlspensary sales floor where they are greeted by a dispensary agent who assesses the patient's needs. A patient is then either consulted regarding the variety of Sira product offerings or moves directly to a sales counter where they are assisted by one of Sira's Patient Advocates. Once a transaction is complete, the patient is directed to exit the facility through a secure exit vestibule. xi Patients are supplied double-seal, chiid-proof bags for specific edible items.

SIRANATURALS RANGE OF PRODUCTS Sira offers a variety of medicai cannabis products including: flower, infused products, high CBD, and micro-dosing products. Our goa! is to offer a menu diverse enough to allow for any patient to come to Sira and find a product that works best for them. Gathering first-hand feedback from the patients we serve on an ongoing basis allows us to determine the right product mix and offer the best selection and variety to our patients, FLOWER Cannabis flower is Sira's specialty, and from our flowers all other products are derived. With more than 60 strains in production, Sira currently cultivates the widest seiection of flower in the Commonwealth by far. Sira offers sativas, indicas, hybrids in many ratios as well as two sought after high-CBD strains. VARIETY OF CBD & THC OPTIONS A growing body of research indicates that the numerous therapeutic effects of cannabis and cannabis-derived products are a function of the synergistic effects of the various cannabinoids within the plant, the two most well-known of which are THC and CBD. THC is primarily responsible for the psychoactive effects associated with cannabis and is often used to treat chronic pain, insomnia, depression and nausea. CBD on the other hand, produces no psychoactive effects and is reported by patients to possess anxiolytic, antispasmodic and anti-inflammation properties. Different ratios of cannabinoids are more suited to treatment of some conditions than others - by offering strains with varying concentrations/rafios of CBD and THC, patients with different conditions are more likely to find a specific strain or product that offers the best relief for their condition. INFUSED PRODUCTS We've partnered with Zoots. a national leader in the infused-product space, to provide patients with a line of precision- I dosed edibles that we produce and package in-house. Not only do we offer Zoots edibles, but we also offer our own line of infused products including Honey Stix, Micro- and Macro-Dose Caramels, infused sugar and tinctures. MICRO-DOSING We pride ourselves on offering a comprehensive list of products to meet the needs of all patients, especially patients unfamiliar or new to medical cannabis. Low or "micro" dose infused options are ideal for patients looking to slowly famillarize themselves with the effects of cannabis. CBD flower strains, concentrates, and edibles also make for a great m|l;t; introduction as they provide therapeutic benefits without the psychoactive effects. We currently offer, micro-dose H^v Carameis, low-dose Zoots edible options, and have micro-dose Honey Stix and micro-dose essential oil tinctures. a^^, PRECISION DOSING / QUALITY CONTROL ^y^-::''/'' At Sira Naturals, we are committed to the Science of feeling better. The ability to perform extensive fn-house testing at our production facility, coupled with third-party lab sampling, ensures that all of our products are precisely dosed, contaminant free, and are consistentfy meeting our high standards of quality. We infuse our edibles with our THC or CBD cannabis oil produced through an organic cane-ethanol extraction method. Using our gas chromatography machine, we are able to test the cannabinoid concentrations of our products through various stages in their life cycle. Our comprehensive, in-house laboratory testing equipment and experienced Quality Assurance staff allow for our products to go through an extra layer of quality control in addition to state-required lab testing. Our state-of-the-art equipment and strict QA protocols, ensure that our products remain consistent through ail stages of development and processing. ^SK--^'.. • :8S^ '^s:g~-'- ^^-^:\., ^Sssv::;.::'-:

PATIENT DEMOGRAPHIC DATA Sira Naturais serves a diverse community of patients having a wide range of ages, backgrounds and conditions. A convenient location, extensive hours and trained Patient Advocates ensures that Sira Naturals meets the needs of all its patients. Our Cambridge location is open from HAM - 9PM every day. We are open 1-3 hours later than any ctispensary in the surrounding 15 miles, AGE RANGE Average Age: 39 years old Median Age: 35 years old SIRANATURALS Patient Age Range • 21-30 N 31-40 a 41-50 ff 51-64 • 65-100 soo 500 400 soo 200 100 0 Top 10 Patient Cities or Towns I ini ^'/y I 11! ^ .7./../,/ ^ ^ ^ ^ .^ ^'^ ^ ^r ^' fit^ss^acas^es WHERE OUR PATIENTS ARE FROM We are proud to have served patients from 297 different towns and cities in Massachusetts since opening in March! The majority of our patients come from the city of Boston and comprise roughly 10% of the tota! number of patients we serve. With Cambridge a close second, we believe that we are currently serving more than 95% ofalf registered patients who live in the city of Cambridge. Immediately surrounding communities make up another 20% of our total •patient population. Pstient Transportation Preferences How OUR PATIENTS REACH Us The patients who visit our Cambridge facility arrive in a variety of ways. Almost exactly 25% of our patients arrive by private automobile, while another 25% take the public bus. Whiie 25% of patients arrive at Sira Naturals Cambridge dispensary under their own power on foot or by bike, the remaining 25% of patients visit by leveraging a Red Line train or a ride service such as Uber or Lyft.

SIRANATURALS FREQUENCY OF VISITS ^^ We're proud to offer the patients of Massachusetts a convenient location in the city that's open late and readily accessible by public transportation. Through our standard operational hours of 11AM-9PM, we allow patients • seeking medicine the ability to procure it at a time that is convenient for them. As a result of our proactive and consistent messaging to the community regarding our patient intake process, our denial of service figures are not statistically significant. Our peak hours are around 2PM and between 7PM and 8PM. During the weekend, we typically see higher patient traffic after 5:OOPM. 14 12 10 8 6 4 2 0 Average Number of Patient Visits by Hour March 15th - December 31st 2017 11 AM 12 PM 1PM 2PM 3 PM 4PM 5 PM 6 PM 7 PM 8 PM vsSsSs&sSn^sws The majority of Sira patients visit our dispensary on Friday, Saturday and Sunday. Many of the patients who cannot travel during their typical work week wiil often visit only on the weekends. Free street parking on Sundays is also an incentive for patients who travel by car to stop in on Sundays. Average Number of Patient Visits by Day March 15th - December 31st 2017 160 140 120 100 80 60 40 20 0 Sunday Monday Tuesday Wednesday Thursday Friday Saturday