12-14-09 Common Council Meeting Agenda & Packet

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STATEMENT OF BENEFITS PERSONAL PROPERTY State Form 51764 (P 11-06) Prescribed by the Department of Local Government Finance INSTRUCTIONS: Fi l e d a" I�i�lll �i Ci !ut�� F - � FORM SB "l I PIP L PRIVACY NOTICE I The cost and any specific individual's salary information is confidential; the h8lance of the filing is public record oer IC 6.1.1- 12,1 -5.A (c) and (d). 1, This statement must be submitted to the body designating the Economi :—Vital (a4ef- s Baring if the designating body requires Rz information from the applicant in making its decision about whether to designa a an Economic Revitalization Area. Otherwise this statement must be submitted to the designating body BEFORE a person installs the new manufacturing equipment and /or research and development equipment, and /or logistical distribution equipment and/or information technology equipment for which the person wishes to claim a deduction. 'Projects" planned or committed to after July 1, 1 987, and areas designated after July 1, 1987, require a STATEMENT OF BENEFITS. 2. Approval of the designating body (City Council, Town Board, County Council, etc.) must be obtained prior to instaliation of the new manufacturing equipment and /or research and development equipment and /or logistical distribution equipment and /or information technology equipment, BEFORE a deduction may be approved 3. To obtain a deduction, a person must file a certf ied deduction schedule with the person's personal property return on a certified deduction schedule (Form 103 -ERA) with the township assessor of the township where the property is situated. The 103 -ERA must be filed between March 1 and May 15 of the assessment year in which new manufacturing equipment and/or research and development equipment and /or logistical distribution equipment and /or information technology equipment is installed and fully functional, unless a filing extension has been obtained. A person who obtains a filing extension must file the form between March 1 and the extended due date of that year. 4. Property owners whose Statement of Benefits was approved after ,Lune 30, 1991, must submit Form CF -1 / PP annually to show compliance with the Statement of Benefits. (IC 6- 1.1.12.7 -5.6) 5. The schedules established under 1C 6 -1, i 12.1- 4.5(d) and (e) apply to equipment installed after March 1, 2001. For equipment installed prior to March 2, 2001, the schedules and statutes in effect at the time shall continue to apply. (IC 6-1. 1-12,1-4.5(0 and (g)) �7 Name of taxpayer Hoosier Tank and Manufacturing Incorporated Address of taxpayer (number and street, city, state, and ZIP code) 121.0 North Sheridan Street....- Soutb Bend, IN 4662- Name of contact person Telephone number Sue A. Kinnucan 574 - 232 -8368 Name of designating body Resolution number (s) Common Council of the City of South Bend Location of p e rq�ny DLGF taxing district number YM No. Sheridan St. South Bend t. Joseph Portage Description of manufacturing equipment and/or research and development equipment ESTIMATED and/or logistical distribution equipment and/or information technology equipment. START DATE COMPLETION DATE (use additional sheets if necessary) Manufacturing Equipment 1 1- 3 0-0 9 11 -30- 1 1 Asset purchase of Quest Manufacturing; see attached. Also, installation of a R &o Equipment new, state of the art powder coat systeM Logist Dist Equipment IT Equipment Current number Salaries Number retained Sataries Number additional 210,0s, 00 0 to 52 1 800 000 52 8 0 0 ... 0.0-0.. 6 - 10 �335— i fl w MANUFACTURING R 8 D EQUIPMENT LOGIST DIST IT EQUIPMENT NOTE: Pursuant to lC 6 -1,1 12.1 -5.1 (d) (2) the EQUIPMENT EQUIPMENT COST of the property is confidential. COST ASSESSED COST ASSESSED ASSESSED COST ASSESSED COST VALUE VALUE i VALUE VALUF Current values O Plus estimated values of proposed project U 0 0 0 3 7 5 00 Less values of any property being replaced Net estimated values upon completion of projacL 63 1 122 9 0 6 l• B! a r" Estimated solid waste converted (pounds) Estimated hazardous waste converted (pounds) Other"Rftlacing our current paint system with the new powder coat line' will reduce our VOC emmissions by 99 %. I hereby certify that the representations in this statement are true. Signature eFauEhorized repr a ative Title Date signed (month, day, year) � i Fr Controller 11 -16 -09