Approval of Cigarette License Renewal – July 1, 2026 – Maverick, The Depot Express, Parkside Liquor, Fareway, Hometown Spirits, Casey’s General Stores, Kwik Star and Tiffin Iron Tap — E.4

5/13/26, 12:07 PM License Administration Start Date : 01-Jul-2026 End Date : 30-Jun-2027 License Fee : 75.00 Types of Sales : Over the Counter Type of Establishment : Liquor store Types of Products Sold : Cigarettes, Tobacco, Vapor Products, Alternative Nicotine Products Do you intend to make retail sales to : Yes ultimate consumers? Do you have other permits issued under : No Iowa Code chapter 453A at this retail location? If yes, provide permit number(s) in the next step: Ownership Details Owner Position Single Line Address ANDERSEN, SCOTT Officer 1100 ANDERSEN PL STE 550 T AYALA, JOSE Owner 181 ROGER'S DRIVE WILLIAMS MHC 1 LLC Company 1100 ANDERSEN PLACE TIFFIN PACHECO, ANTONIO Owner 1420 GREYSON LANE NORTH PACHECO MONTES, DEISY Owner 2018 WATERFRONT DRIVETWA Suppliers List A list of suppliers for cigarettes, tobacco, alternative nicotine, and vapor products must be included with all retail tobacco permit applications. Applicants may submit this information in text form or as a PDF upload. Local authorities may review this information during the application review process. https://govconnect.iowa.gov/TAP/Licensing/_/#60 2/3