staff report memo · E-5

Approval of Tobacco Ownership Update - Casey's Marketing Company — E-5

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9/3/26, 2:35 PM License Administration  Owner JOHNSON, BRIAN 9129 NW 73RD CIR JOH 0.00  Owner JAMES, SAMUEL 3204 NE AVERY DR ANK 0.00  Owner KOBER, PARKER 700 SE 15TH ST GRIMES 0.00 Updated Ownership Information Owner Type Owner Single Line Address Ownership Percentage  Owner FABER, SCOTT 6749 CARDIFF CT JOHN 0.00  Company CASEY'S GENERAL STOR1 SE CONVENIENCE BLV 100.00  Owner JOHNSON, BRIAN 9129 NW 73RD CIR JOH 0.00  Owner JAMES, SAMUEL 3204 NE AVERY DR ANK 0.00  Owner KOBER, PARKER 700 SE 15TH ST GRIMES 0.00  Owner JANSEN, AMANDA 535 COUNTRY CLUB BLV 0.00  Owner WEBB, JESSICA 9112 WOODED POINT 0.00 Impacted Active Retail Tobacco and Device Retailer Permits Jurisdiction Permit Type Permit Number Address City of Tiffin Retail Tobacco 871065021 403 STEPHANS ST TIFFIN Can I help? https://govconnect.iowa.gov/TAP/Licensing/_/#11 2/3

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Attached to agenda item: E-5 Approval of Tobacco Ownership Update - Casey's Marketing Company

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