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Filed in Clerk's Office <br />STATEMENT OF BENEFITS NOV p A 2016 <br />REAL ESTATE IMPROVEMENTS <br />" State Form 51767 (R6110 -14) <br />Prescribed by the Department of Local Government Fin nce KAREEMAH FOWLER <br />This statement is being completed for real property that qualifies under a11p) <br />((Redevelopment or rehabilitation of real estate improvements (IC 6 -1 - - <br />❑ Residentially distressed area (IC 6 -1.1- 12.1 -4.1) <br />INSTRUCTIONS: <br />20L-17 PAY 20J8 <br />FORM SB -1 l Real Property <br />PRIVACY NOTICE <br />Any information concerning the cost <br />of the property and specific salaries <br />paid to individual employees by the <br />Fowner is confidential per <br />IC 6.1.1- 12.1 -5.1. <br />1. This statement must be submitted to the body designating the Economic Revitalization Area prior to the public hearing if the designating 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 or rehabilitation of neat property for which the person wishes to claim a deduction. <br />2. The statement of benefrts 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 ownerif it was mailed after April 10. A property owner who <br />failed to file a deduction application within the prescribed deadline may file an application between March 1 and May 10 ofa subsequent, year. <br />4. A property owner who files for the deduction must provide the County Auditor and designating body with a Form CF- 11Reat Property. The Font CF- 11Rea1 <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 />IC 6- 1.1- 12.175.1(b) <br />5. For a Fort SB- 11Real Property that is approved after June 30, 2013, 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. iC 6-1.1- 12.1 -17 <br />SECTION <br />•. • <br />Name of taxpayer.... . <br />GLC SBDC ii, 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 of contact person <br />I Telephone number <br />E -mail address <br />Jeff Smoke, Director of Develo ment <br />( 574) 855 -5700 <br />1 jsmoke @greatlakescapital.com <br />SECTION 2 LOCATION AND DESCRIPTION <br />OF PROPOSED PROJECT <br />Name of designating body <br />Resolution number <br />Common Council of City of South Bend <br />Location of property <br />County <br />DLGF taxing district number <br />SW Corner of Adams Road and Mayflower, South Bend <br />St. Joseph <br />71 -003 <br />Description of real property improvements; redevelopment, or rehabilitation (use additional sheets if necessary) <br />Estimated start date (month, day, year) <br />Proposed investment of at least $7,700,000 in the development and construction 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 />SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES <br />AS RESULT OF PROPOSED PROJECT <br />Current number Salaries Number retained <br />Salaries Number additional Salaries <br />0.00 $0.00 <br />10.00 $360,000.00 <br />SECTION 4 ESTIMATED TOTAL COST AND <br />VALUE OF PROPOSED PROJECT <br />REAL ESTATE IMPROVEMENTS <br />COST 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 />Net estimated values upon completion of pr o ect <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 />Estimated hazardous waste converted (pounds) <br />Other benefits <br />SECTION <br />• <br />t here y ce ' th the representations in this statement are true. <br />Signature au o presentative <br />Date signed (month, day, year) <br />1-11 <br />1 <br />October 31, 2016 <br />Printed n tho' resentative <br />Title <br />Ryan C. ans <br />Managing Member of Manager <br />Page 1 of 2 <br />