HomeMy WebLinkAboutA049 - Motion approving Ownership Update for Special Class C Retail Alcohol License - Northcrest Community, 1801 20th StreetTo:Mayor and City Council
From:Jeramy Neefus, Principal Clerk
Date:August 12, 2025
Subject:Ownership Update for Special Class C Retail Alcohol License -
Northcrest Community, 1801 20th Street
Item No. 7
MEMO
Please see the attached documentation for a motion approving Ownership
Update for Special Class C Retail Alcohol License - Northcrest Community, 1801
20th Street.
ATTACHMENT(S):
Northcrest Ownership Updates.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
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Applicant
NAME OF LEGAL ENTITY
NORTHCREST, INC.
NAME OF BUSINESS(DBA)
Northcrest Community
BUSINESS
(515) 232-6760
ADDRESS OF PREMISES
1801 20th Street
PREMISES SUITE/APT NUMBER CITY
Ames
COUNTY
Story
ZIP
50010
MAILING ADDRESS
1801 20th Street
CITY
Ames
STATE
Iowa
ZIP
50010
Contact Person
NAME
Rashell Fowler
PHONE
(515) 232-6760
EMAIL
rfowler@northcrestcommunity.org
License Information
LICENSE NUMBER
BW0096800
LICENSE/PERMIT TYPE
Special Class C Retail Alcohol
License
TERM
12 Month
STATUS
Submitted
to Local
Authority
TENTATIVE EFFECTIVE DATE
July 19, 2024
TENTATIVE EXPIRATION DATE
July 18, 2025
LAST DAY OF BUSINESS
SUB-PERMITS
Special Class C Retail Alcohol License
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PRIVILEGES
Outdoor Service
Status of Business
BUSINESS TYPE
Nonprofit corporation organized under chapter 504.
Ownership
Individual Owners
NAME CITY STATE ZIP POSITION % OF OWNERSHIP U.S. CITIZEN
Heidi Palmer Ankeny Iowa 50023 CFO 0.00 Yes
Dawn Borwig Polk City Iowa 50226 CEO 0.00 Yes
Companies
COMPANY NAME FEDERAL ID CITY STATE ZIP % OF OWNERSHIP
Northcrest Community 42-0883987 Ames Iowa 50010 0.00
Insurance Company Information
INSURANCE COMPANY
West Bend Insurance Company
POLICY EFFECTIVE DATE POLICY EXPIRATION DATE
DRAM CANCEL DATE OUTDOOR SERVICE EFFECTIVE
DATE
OUTDOOR SERVICE EXPIRATION
DATE
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BOND EFFECTIVE DATE TEMP TRANSFER EFFECTIVE
DATE
TEMP TRANSFER EXPIRATION
DATE
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