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Filed in Clerk's Office <br />STATEMENT OF BENEFITS <br />REAL E8i -ATE IMPROVEMENTS NOV 0 q 2016 <br />State Farm 51767 (R611 0,14) <br />■ • '� Prescribed by the Department of Local Government Fin L FOWLER <br />KAREEMAH This statement is being completed for real'property that qualifies under Redevelopment or rehabilitation of real estate improvements (IC 6 -1 - <br />❑ Residentially distressed area (IC 6.1.1- 12.1 -4:1) <br />1NS7RtiC rinme <br />2Q.17 PAY 20 18. <br />FORM 96-1 i Real Property <br />PRIVACY NOTICE <br />Ahy7riforrnatioii concerning the cost <br />of tiie property:and specific salaries <br />paid to irdividual employees by the <br />Propeily own6i% is confidential per <br />t; IM.1- 12.1 -5. i. <br />1. This statement must be submitted to the body designating the Economic RevitaliiationArea prior to the public hearing if the designaling body requires <br />information from the applicant in making its decision about whether to designate an Economic Revitalization Area Otherwise, this statement must be <br />submitted to the designating body BEFORE the redevelopment orrehabihiation of real property for which the person wishes to claim a deduction. <br />2. The statement of benefits form must be submitted to the designating body and the area designated an economic revitalization area before the initiation of <br />the redevelopment or rehabilitation for which the person desires to claim a deduction. <br />3 To obtain a deduction, a Form 3221RE, must be filed with the County Auditor before May 10 in the year in which the addition to assessed valuation is <br />made or not later:than thirty (30) days after the assessment notice is mailed to the property owner if it tvas mailed after April 10. A property owner who <br />tatted to tale a deduction application within the prescribed deadline may file an application between March 1 and May 10 of a subsequent year. <br />4: A. property owner who files for the deduction must provide the County Auditor and designating body with a Form CF- i/Real Property. The Form CF- 11Real <br />Property should be attached to the Form 3221RE when the deduction Is first claimed and then updated annually for each year the deduction is applicable. <br />1C 6.1.1- 12.1 -51(b) <br />5. For; a Form SB- 1/Real Property that is approved after June 30, 20713, the designating body is required to establish an abatement schedule for each <br />deduction allowed. For a Form SB- 11Real Property that is approved prior to July 1, 2013, the abatement schedule approved by the designating body <br />remains in effect. 1C 6- 1.1- 12.1 -17 <br />SECTION <br />•- • <br />Name of taxpayer <br />GLC SBDC Ij, LLC . <br />Address of taxpayer (number and street city, state, and ZIP code) <br />c/o Great Lakes Capital Management, LLC; 112 West Jefferson Blvd., Suite 200; South Bend; IN 46601 <br />Name ofeantact person <br />Telephone number <br />E -mall address <br />Jeff Smoke, Director of Development <br />( 574) 855 -5700 <br />jsmoke @greatlakescapital.com <br />SECTION 2 LOCATION AND DESCRIPTION <br />OF PROPOSED PROJECT_ <br />Name of designating body,Resolution <br />number <br />Cornnioh Council of City of South Bend. <br />Location orproperiy - <br />County <br />DLGF fixing district number <br />SW Corner of Adams Road and Mayflower, South Bend <br />I 8t. Joseph <br />71 -003 <br />Description of real property improvements, redevelopment, or rehabilitation (use additionalsheets ifnecessary.) <br />Estimated start date (month, day, yea4 <br />Proposed investment of at least $7,700,000 in the development and construction <br />of a commercial distribution "spec" <br />March, 2017 <br />facility containing approximately 210,000 square feet (or more) <br />Estimated completion date (month, day, year) <br />Dec. 31, 2018 <br />SECT10N 3 ESTIMATE OF EMPLOYEES AND SALARIES <br />AS RESULT OF PROPOSED PROJECT <br />Current number Safades: NU M-tiw retained <br />Salaries Nuniberaddilfonal Salaries <br />0,00 1$0.00 <br />110.00 x$80,060.00 <br />SECTION 4 ESTIMATED TOTAL COST AND <br />VALUE OF PROPOSED PROJECT <br />REAL ESTATE IMPROVEMENTS <br />COST <br />ASSESSED VALUE <br />Current values <br />Plus estimated values of proposed project <br />7,700,000.00 <br />Less values of any property being replaced <br />Nei estimated values upon completion of project <br />7,700,000.00 <br />SECTION 5 WASTE CONVERTED AND OTHER <br />BENEFITS PROMISED BY THE TAXPAYER <br />.Estimated solid waste converted (pounds) <br />EStirnated tlazardoUs waste :converted (pounds) <br />Other benefits <br />SECTION <br />There cer j th/ the. representations in this statement are true: <br />• <br />signature f au o ze representative <br />Date signed (month, day, year) <br />October 31, 2016 <br />Printed n representative <br />Title <br />Ryan C. Rans <br />Managing Member of Manager <br />Page 1 of 2 <br />