501(c)(3) denied to a group subsidizing THC/CBD-medication patients because its purpose furthers a federally illegal activity

Plain-English summary

An organization applied for 501(c)(3) charity status to give financial help
(living and other expenses) to financially disadvantaged patients who use
THC and CBD (cannabis-derived) medications, plus some public education and
research about those treatments. The IRS denied exemption and, after the
group filed no protest, made the denial final. The core reason: cannabis
remains illegal under federal law (a Schedule I controlled substance with no
federally recognized medical use), and a charity cannot be organized or
operated for a purpose that is illegal or contrary to public policy, even if
the state has legalized medical marijuana. By subsidizing the living costs
of cannabis users (and only cannabis users), the group was indirectly
underwriting a federally illegal activity, a substantial nonexempt purpose
that defeats exemption. The IRS gave a second, independent reason: the group
served private interests, because its board members owned a for-profit LLC
that prescribes THC/CBD treatments and would benefit when patients got help
paying for those prescriptions. Because the group is not exempt, donors
cannot deduct contributions under Section 170, and it must file regular
income tax returns. Anyone building a cannabis-adjacent nonprofit cares
because it shows the federal-illegality bar blocks 501(c)(3) status
regardless of state law.

Ruling snapshot

• Question: Does an organization that financially supports THC/CBD-medication patients qualify for exemption under § 501(c)(3)?
• Outcome: Denied (final adverse determination; illegal-purpose/public-policy bar plus private benefit)
• Key authorities: IRC § 501(c)(3); Treas. Reg. § 1.501(c)(3)-1(b), (c), (d); Rev. Rul. 75-384; 21 U.S.C. §§ 812, 841(a); Oakland Cannabis Buyers' Coop., 532 U.S. 483

Full text (IRS public release)

Department of the Treasury
Internal Revenue Service
P.O. Box 2508
IRS Cincinnati, OH 45201
Date: January 29, 2019

Employer ID number:

Number: 201917008
Release Date: 4/26/2019 Contact person/ID number:
Contact telephone number:

Form you must file:

Tax years:

UIL Number: 501.00-00, 501.03-00, 501.03-05

Dear

This letter is our final determination that you don’t qualify for tax-exempt status under Section 501(c)(3) of the
Internal Revenue Code (the Code). Recently, we sent you a proposed adverse determination in response to your
application. The proposed adverse determination explained the facts, law, and basis for our conclusion, and it
gave you 30 days to file a protest. Because we didn’t receive a protest within the required 30 days, the proposed
determination is now final.

Because you don’t qualify as a tax-exempt organization under Section 501(c)(3) of the Code, donors can’t
deduct contributions to you under Section 170 of the Code. You must file federal income tax returns for the tax
years listed at the top of this letter using the required form (also listed at the top of this letter) within 30 days of
this letter unless you request an extension of time to file.

We'll make this final adverse determination letter and the proposed adverse determination letter available for
public inspection (as required under Section 6110 of the Code) after deleting certain identifying information.
Please read the enclosed Notice 437, Notice of Intention to Disclose, and review the two attached letters that
show our proposed deletions. If you disagree with our proposed deletions, follow the instructions in the Notice
437 on how to notify us. If you agree with our deletions, you don’t need to take any further action.

We'll also notify the appropriate state officials of our determination by sending them a copy of this final letter
and the proposed determination letter (under Section 6104(c) of the Code). You should contact your state
officials if you have questions about how this determination will affect your state responsibilities and
requirements.

Letter 4038 (Rev. 7-2014)
Catalog Number 47632S

If you have questions about this letter, you can contact the person listed at the top of this letter. If you have
questions about your federal income tax status and responsibilities, call our customer service number at

1-800-829-1040 (TTY 1-800-829-4933 for deaf or hard of hearing) or customer service for businesses at
1-800-829-4933.

We sent a copy of this letter to your representative as indicated in your power of attorney.

Sincerely,

Stephen A. Martin
Director, Exempt Organizations
Rulings and Agreements

Enclosures:
Notice 437

Redacted Letter 4036, Proposed Adverse Determination Under IRC Section 501(c)(3)
Redacted Letter 4038, Final Adverse Determination Under IRC Section 501(c)(3) - No Protest

Letter 4038 (Rev. 7-2014)
Catalog Number 47632S

Department of the Treasury

Internal Revenue Service

Cincinnati, OH 45201
Date: November 01, 2018
Employer ID number:
Contact person/ID number:

Contact telephone number:

Contact fax number:

Legend: UIL:

B = State 501.00-00

C = Date 501.03-00
501.03-05

Dear

We considered your application for recognition of exemption from federal income tax under Section 501(a) of
the Internal Revenue Code (the Code). Based on the information provided, we determined that you don’t qualify
for exemption under Section 501(c)(3) of the Code. This letter explains the basis for our conclusion. Please
keep it for your records.

Issues
Do you qualify for exemption under Section 501(c)(3) of the Code? No, for the reasons shown below.

Facts
You were incorporated in the state of B on C. Your Articles of Incorporation provide in part that your purpose
and goals are:

• To aid financially disadvantaged patients and patient’s families who are affected by the costs of THC
and CBD medical treatment by providing financial support to cover costs of living and other expenses
that the patients may incur.

To educate health care providers and the general public about THC and CBD medical treatments;
To support and engage in research of THC and CBD medical treatments.

You will provide funds to patients with demonstrated financial need to help those patients offset the costs of
CBD and THC based medications. All patients who are eligible for such financial assistance must be certified as
meeting applicable state requirements to legally obtain CBD and THC based medications for medical reasons.
Your financial assistance will not include reimbursement for medical marijuana medicines. You will devise a
system to distribute funds based on patients' financial needs.

Letter 4036 (Rev. 7-2014)
Catalog Number 47630W

You have a three-person board. Members of your board own a for profit LLC who has a similar name to yours
and is involved in the prescribing of THC and CBD medical treatments. Both you and the LLC share a common
goal of aiding patients who use CBD and THC based medications. You share a mailing address with the LLC
and personnel from the LLC may serve as your volunteers.

You are supported by gifts, grants and contributions. In addition, you will solicit donations from maintaining
email lists of previous donors as well as persons interested in your work. You will also personally solicit from
groups who have similar goals. You plan to develop a website which provides information about your mission
as well as educational materials for patients. Furthermore, you will accept donations on this website.

You will also engage in educational initiatives such as:
• Developing educational literature to help patients with the administration and treatment of CBD and
THC medications;
• Conducting seminars and conducting classes for healthcare professionals about CBD and THC based
medical treatments;
• Organizing support groups and disseminating pertinent information for patients and families of patients
who suffer from medical conditions that can benefit from THC and CBD medications.

In addition, you will accumulate and publish empirical data reports related to CBD and THC medications and
treatments.

Law

Section 501(c)(3) of the Code provides for the exemption from federal income tax of corporations organized
and operated exclusively for charitable or educational purposes, provided no part of the net earnings inures to
the benefit of any private shareholder or individual.

Treasury Regulation Section 1.501(c)(3)-1(a)(1) that, in order to be exempt as an organization described in
Section 501(c)(3), an organization must be both organized and operated exclusively for one or more exempt
purposes. If an organization fails to meet either the organizational test or the operational test, it is not exempt.

Treas. Reg. Section 1.501(c)(3)-1(b)(1)(i) provides that an organization is organized exclusively for one or
more exempt purposes only if its articles of organization limit its purposes to one or more exempt purposes and
do not expressly empower it to engage, otherwise than as an insubstantial part, in activities which in themselves
are not in furtherance of one or more exempt purposes.

Treas. Reg. Section 1.501(c)(3)-1(b)(1)(iv) provides that in no case shall an organization be considered to be
organized exclusively for one or more exempt purposes, if, by the terms of its articles, the purposes for which it
is created are broader than the purposes specified in Section 501(c)(3) of the Code. The fact that the actual
operations of such organization have been exclusively in furtherance of one or more exempt purposes shall not
be sufficient to permit the organization to meet the organizational test.

Treas. Reg. Section 1.501(c)(3)-1(c)(1) provides that an organization operates exclusively for exempt
purposes only if it engages primarily in activities that accomplish exempt purposes specified in Section
501(c)(3) of the Code. An organization will not be operated exclusively for exempt purposes if more than an
insubstantial part of its activities are not in furtherance of an exempt purpose.

Letter 4036 (Rev. 7-2014)
Catalog Number 47630W

Treas. Reg. Section 1.501(c)(3)-1(d)(ii) states that an organization is not operated exclusively for one or more
exempt purpose unless it serves a public rather than a private interest.

Treas. Reg. Section 1.501(c)(3)-1(d)(2) provides that the term "charitable" is used in Section 501(c)(3) of the
Code in its generally accepted legal sense. The promotion of health has long been recognized as a charitable
purpose. See Restatement (Second) of Trusts, Sections 368, 372 (1959); A Scott and Fratcher, The Law of
Trusts, Section 368, 372 (4th ed. 1989). However, a trust is invalid if its purpose is illegal. Restatement
(Second) of Trusts, Section 377 (1959).

Treas. Reg. Section 1.501(c)(3)-1(d)(3)(i) provides, in part, that the term "educational" as used in Section
501(c)(3) of the Code relates to the instruction of the public on subjects useful to the individual and beneficial
to the community.

21 U.S.C. Section 802(16) defines marijuana as "all parts of the plant Cannabis Sativa L. whether growing or
not; the seeds thereof; the resin extracted from any part of such plant; and every compound, manufacture, salt,
derivative, mixture, or preparation of such plant, its seeds or resin."

21 U.S.C. Section 821(c), Sch. I(c)(10) lists marijuana as a hallucinogenic substance and includes it on schedule
I of the Schedules of Controlled Substances. A schedule I substance is a substance that (1) has a high potential
for abuse; (2) has no currently accepted medical use in treatment in the United States; and (3) there is a lack of
accepted safety for use of the drug under medical supervision.

21 U.S.C. Section 841(a), known as The Controlled Substances Act, states that it is illegal for anyone to
knowingly or intentionally manufacture, distribute, or dispense, or possess with intent to manufacture,
distribute, or dispense a controlled substance.

Rev. Rul. 75-384, 1975-2 C.B. 204, holds that a nonprofit organization, whose purpose was to promote world
peace, disarmament, and nonviolent direct action, did not qualify for exemption under Section 501(c)(3) or
(c)(4). The organization's primary activity was to sponsor antiwar protest demonstrations in which
demonstrators were urged to violate local ordinances and commit acts of civil disobedience. Citing the law of
trusts, the ruling stated that all charitable organizations are subject to the requirement that their purposes cannot
be illegal or contrary to public policy.

United States v. Oakland Cannabis Buyers' Cooperative, 532 U.S. 483, 490, 121 S. Ct. 1711, 149 L. Ed. 2d 722
(2001), reiterates that there is only one exception from the Act for cannabis: Government-approved research
projects. "It is clear from the text of the Act that Congress has made a determination that marijuana has no
medical benefits worthy of an exception." Id. at 493.

In Better Business Bureau of Washington, D.C., Inc. v. United States, 326 U.S. 279, 283, 66 S. Ct. 112, 90 L.
Ed. 67, 1945 C.B. 375 (1945), the Supreme Court held that the "presence of a single . . . [nonexempt] purpose,
if substantial in nature, will destroy the exemption regardless of the number or importance of truly . . . [exempt]

purposes."

In Ould v. Washington Hospital for Foundlings, 95 U.S. 303, 311, 24 L. Ed. 450 (1877), the Court noted that
"[a] charitable use, where neither law nor public policy forbids, may be applied to almost anything that tends to
promote the well-doing and well-being of social man."

Letter 4036 (Rev. 7-2014)
Catalog Number 47630W

In Mysteryboy, Inc. v. Commissioner, T.C. Memo 2010-13 (2010), the Tax Court held that the organization
failed the operational test partly because the organization proposed to promote illegal activities.

In Bob Jones University v. United States, 461 U.S. 574, 103 S. Ct. 2017, 76 L. Ed. 2d 157 (1983), the Supreme
Court held that racially discriminatory education is contrary to public policy and the University therefore could
not be viewed as providing public benefit within the charitable concept.

In Harding Hospital, Inc. v. United States, 505 F.2d 1068, 1071 (6th Cir. 1974), the court held that an
organization has the burden of proving that it satisfies the requirements of the particular exemption statute. The
court noted that whether an organization has satisfied the operational test is a question of fact.

Application of law
You are not organized and operated exclusively for exempt purposes under Section 501(c)(3) of the Code. An
organization can be recognized as exempt under Section 501(c)(3) of the Code only if it shows that it is both
organized and operated exclusively for charitable, educational, or other exempt purposes. If an organization
fails to meet either the organizational test or the operational test, it is not exempt. Treas. Reg. Section
1.501(c)(3)-1(a)(1).

To satisfy the organizational test, an organization's Articles of Incorporation must limit its purposes to those
listed in Section 501(c)(3) of the Code. Additionally, the Articles must not expressly empower the organization
to engage, more than insubstantially, in activities that are not in furtherance of those exempt purposes.

The common law of trusts specifies that a charitable trust cannot be created for an illegal purpose. See
Restatement (Second) of Trusts, Section 377. Similarly, the Supreme Court noted in Ould v. Washington
Hospital for Foundlings, 95 U.S. at 311, that "[a] charitable use, where neither law nor public policy forbids,
may be applied to almost anything that tends to promote the well-doing and well-being of social man." Like a
trust, a Section 501(c)(3) organization cannot be created for a purpose that is illegal. See Rev. Rul. 75-384,
supra; Mysteryboy, Inc. v. Comm'r, T.C. Memo 2010-13.

You do not satisfy the organizational test of Treas. Reg. Section 1.501(c)(3)-1(b)(1)(i). You were formed to aid
financially disadvantaged patients and patient’s families who are affected by the costs of THC and CBD
medical treatment by providing financial support to cover costs of living and other expenses that the patients
may incur. Under federal law, cannabis use is illegal. You are formed for the purpose of providing financial
assistance to cannabis users. Rev. Rul. 75-384, 1975-2 C.B. 204, states that all charitable organizations are
subject to the requirement that their purposes cannot be illegal or contrary to public policy. You were formed
for the purpose of providing financial assistance to individuals who are engaged an illegal activity which is
contrary to public policy. You will provide funds to patients with demonstrated financial need to help those
patients offset the costs of CBD and THC based medications.

Current federal law prohibits the use of cannabis except in limited circumstances; those limited circumstances
do not include the use of cannabis for medicinal purposes. The fact that state legalized distribution of cannabis
to a limited extent is not determinative because under federal law, distribution of cannabis is illegal. Because

you advocate and engage in activities that contravene federal law, you serve a substantial nonexempt purpose.

You do not satisfy the operational test of Treas. Reg. Section 1.501(c)(3)-1(c). Whether an organization
operates exclusively in furtherance of an exempt purpose is a question of fact. An organization seeking tax-
exempt status under Section 501(c)(3) of the Code carries the burden of proving that it satisfies the

Letter 4036 (Rev. 7-2014)
Catalog Number 47630W

requirements of the statute. See Harding Hospital, 505 F.2d at 1071. Only an insubstantial portion of the
activity of an exempt organization may further a nonexempt purpose. As the Supreme Court held in Better
Business Bureau of Washington, D.C., Inc. v. United States, 326 U.S. at 283, the presence of a single
nonexempt purpose, if substantial in nature, will destroy the exemption regardless of the number or importance
of truly exempt purposes.

You indicated that you will not directly provide THC and CBD based medications to individuals, and you will
not provide funding to directly pay for these substances. However, you are providing funding to the users of
these substances who may be struggling to pay living and/or travel expenses because of their use of these illegal
substances. Furthermore, your financial assistance is only available to users of these substances. Therefore, your
payments are indirectly subsidizing cannabis users. Consequently, this illustrates that you have a substantial
nonexempt purpose. Your activities are enabling individuals to engage in an activity illegal under federal law.

Your primary activity is to provide financial assistance to individuals who have been prescribed THC and CBD
based medications. The distribution of cannabis, is illegal. Federal law does not recognize any health benefits of
cannabis and classifies it as a controlled substance. 21 U.S.C. Section 812. Federal law prohibits the
manufacture, distribution, possession, or dispensing of a controlled substance. 21 U.S.C. Section 841(a).
Congress has "made a determination that marijuana has no medical benefits worthy of an exception" to the
general rule that the manufacture and distribution of cannabis is illegal. Oakland Cannabis Buyers' Coop., 532
US. at 493.

Current federal law prohibits the use of cannabis except in limited circumstances; those limited circumstances
do not include the use of cannabis for medicinal purposes. The fact that your state legalized distribution of
cannabis to a limited extent is not determinative because under federal law, distribution of cannabis is illegal.
Because you advocate and engage in activities that contravene federal law, you serve a substantial nonexempt

purpose.

You also do not meet Treas. Reg. Section 1.501(c)(3)-1(d)(ii) which states that an organization is not operated
exclusively for one or more exempt purpose unless it serves a public rather than a private interest. You are
serving the private interests of your board members who have an ownership interest in an LLC who is
prescribing CBD and THC based medications. The LLC and its clients are in an advantageous position to
benefit from your financial assistance programs because by helping its clients with living expenses, they are
more likely to be able to pay for the medications which the LLC prescribes. This precludes exemption under
Section 501(c)(3) of the Code.

Conclusion

Based on the facts and information submitted, you are not organized or operated exclusively for exempt
purposes. Your primary purpose of providing financial support to individuals who been prescribed THC and
CBD based medications not only violates federal law, but also furthers a substantial nonexempt purpose.

If you don’t agree
You have a right to file a protest if you don’t agree with our proposed adverse determination. To do so, you
must send a statement to us within 30 days of the date of this letter. The statement must include:

• Your name, address, employer identification number (EIN), and a daytime phone
number

Letter 4036 (Rev. 7-2014)
Catalog Number 47630W

• A copy of this letter highlighting the findings you disagree with
• An explanation of why you disagree, including any supporting documents
• The law or authority, if any, you are relying on

• The signature of an officer, director, trustee, or other official who is authorized to sign for the
organization, or your authorized representative

• One of the following declarations:

For an officer, director, trustee, or other official who is authorized to sign for the organization:
Under penalties of perjury, I declare that I examined this protest statement, including

accompanying documents, and to the best of my knowledge and belief, the statement contains all
relevant facts and such facts are true, correct, and complete.

For authorized representatives:

Under penalties of perjury, I declare that I prepared this protest statement, including
accompanying documents, and to the best of my knowledge and belief, the statement contains all
relevant facts and such facts are true, correct, and complete.

Your representative (attorney, certified public accountant, or other individual enrolled to practice before the
IRS) must file a Form 2848, Power of Attorney and Declaration of Representative, with us if he or she hasn’t
already done so. You can find more information about representation in Publication 947, Practice Before the
IRS and Power of Attorney.

We’ll review your protest statement and decide if you provided a basis for us to reconsider our determination. If
so, we’ll continue to process your case considering the information you provided. If you haven’t provided a
basis for reconsideration, we’ll forward your case to the Office of Appeals and notify you. You can find more
information about the role of the Appeals Office in Publication 892, How to Appeal an IRS Decision on Tax-
Exempt Status.

If you don’t file a protest within 30 days, you can’t seek a declaratory judgment in court at a later date because
the law requires that you use the IRS administrative process first (Section 7428(b)(2) of the Code).

Where to send your protest
Please send your protest statement, Form 2848, if needed, and any supporting documents to the applicable
address:

U.S. mail: Street address for delivery service:
Internal Revenue Service Internal Revenue Service

EO Determinations Quality Assurance EO Determinations Quality Assurance
Room 7-008 550 Main Street, Room 7-008

P.O. Box 2508 Cincinnati, OH 45202

Cincinnati, OH 45201

Letter 4036 (Rev. 7-2014)
Catalog Number 47630W

You can also fax your statement and supporting documents to the fax number listed at the top of this letter. If
you fax your statement, please contact the person listed at the top of this letter to confirm that he or she received
it.

If you agree

If you agree with our proposed adverse determination, you don’t need to do anything. If we don’t hear from you
within 30 days, we’ll issue a final adverse determination letter. That letter will provide information on your
income tax filing requirements.

You can find all forms and publications mentioned in this letter on our website at www.irs.gov/formspubs. If
you have questions, you can contact the person listed at the top of this letter.

We sent a copy of this letter to your representative as indicated in your power of attorney.

Sincerely,

Stephen A. Martin
Director, Exempt Organizations
Rulings and Agreements

Enclosure:
Publication 892

Letter 4036 (Rev. 7-2014)
Catalog Number 47630W