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HomeMy WebLinkAboutA006 - Motion approving new Class B Retail Alcohol License - Hy-Vee Ames Pop Up Shop, 1472 South 4th StTo:Mayor and City Council From:Taylor Swanson, Deputy City Clerk Date:July 28, 2026 Subject:New Class B Retail Alcohol License - Hy-Vee Ames Pop Up Shop, 1472 South 4th Street Item No. 6 MEMO Please see the attached documentation for a new Class B Retail Alcohol License - Hy-Vee Ames Pop Up Shop, 1472 South 4th Street. ATTACHMENT(S): HyVee Pop-up Shop Application.pdf Administration 515.239.5105 main 515.239.5142 fax 515 Clark Ave. P.O. Box 811 Ames, IA 50010 www.CityofAmes.org 1 CLASS "B" RETAIL ALCOHOL LICENSE APPLICATION Business Information Name of Legal Entity: HY-VEE INC FEIN: XX-XXX5638 Business Type: Corporation This business is registered with the Secretary of State. Business Number of Secretary of State: 19862 Premises Information Premises DBA: HY-VEE Premises Address: 1472 S 4TH ST AMES IA 50011-0001 Premises Type: Concession Stand Number of Floors: 1 Control of Premises: Other Other control description: Special Event Permission The total square footage of the entire retail sales area plus any alcoholic beverage storage areas of the business. This includes areas of walk-in alcoholic beverage coolers that are accessible to the public. 800 Does your premises conform to all local and state health, fire and building laws and regulations? Yes Does or will your licensed location wholesale alcoholic beverages to on-premises retail alcohol licensees? No License Information Effective Date: 01-Aug-2026 Length of License Requested: 12MONTH Provided description of the Outdoor Service Area: Pop up store in the village parking lot across from Jack Trice stadium for tailgating/home Iowa State University Football games. Privilege(s) Requested Outdoor Service - Allows the selling/serving of alcoholic beverages by the license/permit in a designated, adjacent outdoor area. 2 Ownership Information Endorsements Local Authority: City of Ames Criminal History Details Has anyone listed on the Ownership page been charged or convicted of a felony offense in Iowa or any other state of the United States? No Has anyone listed on the Ownership page been convicted of any violation of any state, county, city, federal or foreign law? For traffic violations, only include those that are drug or alcohol related. No Criminal Violations Contact Information Contact Name: KATIE NYLEN Phone Number: 5156953540 Email Address: knylen@hy-vee.com Address: 5820 WESTOWN PKWY WEST DES MOINES IA 50266-8223 Attestation Information Attestation Name: ANDREW SCHROEDER Attestation Date: 20-Jul-2026 Type Name ID Type ID DOB Phone Address Percentage Individual WIESE, AARON SSN ***-**-6741 30-Dec-19 76 4840 159TH STREET URBANDALE IA 50323 0.00 Individual SCHROEDE R, ANDREW SSN ***-**-7701 11-Jan-19 74 5764 CHATHAM CIRCLE JOHNSTON IA 50131 0.00 Individual ALLEN, NATHAN SSN ***-**-8432 09-Jul-198 0 809 SUMMIT PLACE INDIANOLA IA 50125 0.00 3