HomeMy WebLinkAboutA014 - Motion approving new Class E Retail Alcohol License - Casey's #4472, 3406 Lincoln Way, Pending Favorable InspectionsTo:Mayor and City Council
From:Grace Bandstra, Deputy City Clerk
Date:March 11, 2025
Subject:New Class E Retail Alcohol License - Casey's #4472, 3406 Lincoln Way
Item No. 8
MEMO
Please see the attached documentation for a motion approving new Class E Retail
Alcohol License - Casey's #4472, 3406 Lincoln Way, Pending Favorable Inspections.
ATTACHMENT(S):
Caseys #4472 Application.pdf
City Clerk's Office 515.239.5105 main
515.239.5142 fax
515 Clark Ave. P.O. Box 811
Ames, IA 50010
www.CityofAmes.org
1
Page 1 of 3
Applicant
NAME OF LEGAL ENTITY
CASEY'S MARKETING
COMPANY
NAME OF BUSINESS(DBA)
CASEY'S #4472
BUSINESS
(515) 304-4620
ADDRESS OF PREMISES
3406 Lincoln Way
PREMISES SUITE/APT NUMBER CITY
Ames
COUNTY
Story
ZIP
50014
MAILING ADDRESS
1 Southeast Convenience
Boulevard
CITY
Ankeny
STATE
Iowa
ZIP
50021
Contact Person
NAME
LICENSING TEAM
PHONE
(515) 381-4090
EMAIL
licensingteam@caseys.com
License Information
LICENSE NUMBER LICENSE/PERMIT TYPE
Class E Retail Alcohol License
TERM
12 Month
STATUS
Submitted
to Local
Authority
EFFECTIVE DATE EXPIRATION DATE LAST DAY OF BUSINESS
SUB-PERMITS
Class E Retail Alcohol License
PRIVILEGES
2
Page 2 of 3
Status of Business
BUSINESS TYPE
Corporation
Ownership
Individual Owners
NAME CITY STATE ZIP POSITION % OF
OWNERSHIP
U.S.
CITIZEN
SAMUEL
JAMES
Ankeny Iowa 50021 PRESIDENT 0.00 Yes
BRIAN
JOHNSON
Johnston Iowa 50131 VICE PRESIDENT 0.00 Yes
SCOTT FABER Johnston Iowa 50131 SECRETARY 0.00 Yes
ERIC LARSEN Ankeny Iowa 50023 TREASURER 0.00 Yes
DOUGLAS
BEECH
Ankeny Iowa 50021 ASSISTANT
SECRETARY
0.00 Yes
Companies
COMPANY NAME FEDERAL ID CITY STATE ZIP % OF OWNERSHIP
CASEY'S MARKETING COMPANY 42-1435913 Ankeny Iowa 50021 100.00
Insurance Company Information 3
Page 3 of 3
INSURANCE COMPANY POLICY EFFECTIVE DATE POLICY EXPIRATION DATE
DRAM CANCEL DATE OUTDOOR SERVICE EFFECTIVE
DATE
OUTDOOR SERVICE EXPIRATION
DATE
BOND EFFECTIVE DATE TEMP TRANSFER EFFECTIVE
DATE
TEMP TRANSFER EXPIRATION
DATE
4