Bill No. 16-65 Designating Personal Property Tax Abate for 3B Tech, Inc.

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Filed in Clerk's fi ce- STATEMENT OP °BENEFITS PERSONAL. PROPERTY AUG % 2016 FORM SIB-1 / PP `= 4tate'ssrtn 51784 - {R4 711 =15) Prescribed by,tt a Departnlenf of Locai "Government Fi ance t g t PRIVACY NOTICE ies R°a< n FO Inh > a ,.,: v CIT C. �. I L r �� lid Any information concerning the cost s• of the property and specific „salaries paid -- — to individual employees by the property owner is confidential per IC INSTRUCTIONS _. y, This statement must be submitted to the body designating the Economic Revitalization Area prior to thg:public hearing if the, designating body, requires: -, information from the, applicant in, making its decision about =whether to designate an Economic Revitalization Area Otherwise this: statement;must be submitted to, the, des /gnati{rgbody',84fPRE a per'son,Installs the new manufacturing equipment and /or,research and deve %pment equipment, and /or log {stice(distributign equipment and /oi information'technology cquipmentfor which the person wisFies to claim a deduction.' 2. The statement of benefits form must be submitted to the designating body and the area designated an economic revitalization area before the installation of qualifying abatable equipment for which the person desires to claim a deduction. - 3. To obtain a deduction a person must file a certified deduction schedule with the person's personal:prgperty return on a certified - deduction , schedulp - (Font 103 ERA) wit h fne Cownship assessor of'the township where the property is situated or with the county assessor if there is no township assessor for the township. The 103 -ERA must be filed between January 1 and May -15 of the” assessrrientyear /n" which new- manufacturing-equipment and /or research and development equipment and /or logistical disfibutign, equipment and /or information technology equipment Is, )ristalled; and .fully, functional, unless a filing extension has been obtained: A person who obtains a flung extension must tile'tlie form between 'January-1 and theektended due date of that year. 4. Property owners whose Statement. of Benefits was approved„ must submit Form CF -,1/PP annually to show compliance wiih "the Statement of Benefits. ,,. S. For a Form SB -1/PP that is approved after June 30, 2013, the designating body Is' required to establish an abatement schedule for -each deduction a/ /owed. For a Form SB 1 /PP that is approved priorto July 1, 2013, the abatemenf schedule approved by the designating body remains in effect. (IC 6 1 1- 12.1 -17) SECTION - INFORMATION Name of taxpayer Name of contact person 3B Tech, Inc _ Brett. Barbour Addressoft"payer(numberandsfroet city,-s tap, andZIPcode. ) Telephone number: _ 7250 Vorden Pkwy _ ,; ( 574_)968r3355 SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT No of designating body _ - t Resolution number (s) ' Location of property County DLGF taxing district number 7250 Vorden pkwy St Joseph Description of manufacturing' equipment and /or research and development equipment ESTIMATED' and /or logistical distribution equipment and /or- information,; technology. equipment. START DATE '`` CoMFLETioN`DATE (Use additional sheets if necessary.) _. Manufacturing: Equipment , R & D Equipment Logist'Dist Equipment 09/2016 09/2018 IT Equipment 0912016: 09/2018 SECTION 3 ESTIMATE • • • AND - OF - a -• -• . PROJECT Current number Salaries Numbdrretained Salaries Number additional `' Salaries 42 15hr _ 42._ _ ___..; . 100 _. _. _. _._ ... _ _.1,5 SECTION . TOTAL COST AND VALUE OF PROPOSED • -• i MANUFACTURING LOGIST DtST NOTE: Pursuant to IC 6 1.1 =12.1 5.1 (d) (2) the EQUIPMENT R & D EQUIPMENT IT EQUIPMENT E ._EQUIPMENT COST of the property is confidential. COST ASSESSED COST ASSESSED COST ASSESSED COST ASSESSED VALUE VALUE VALUE VALUE Current values 30,000 10,000 s Plus estimated values of proposed project 750.000 100,000 Less values of any'property being replaced Net estimated values upon completion of project I I u,vuV SECTION 5 WASTE CONVERTED AND OTHER BENEFITS PROMISED BY THE TAXPAYER Estimated solid waste converted (pounds) Estimated Ftazardous waste converted `(pounds) Other benefits:. SECTION - I hereby , ify that the representations in this statement are true. Signature zed representative Date signed (month, day, year) 08/03/16 Printediiame of authorized representative Title Brett Barbour Executive Vice President