17-76 Tax Abatement for River Park Corp.

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3 i:•_r-+a_a_.,�ae�aLarvrraavea..rvra_rva.. FORM SBA SBA I Real Property =y --.! State Form 51767(R6 110-14) - Prescribed by the Department of Local Government Finance PRIVACY NOTICE This statement is being completed for real property that qualifies under the following Indiana Code(check one box): Any information concerning the cost Redevelopment or rehabilitation of real estate improvements IC 6-1.1-12.1-4 of the property and specific salaries p p ( ) paid to individual employees by the ❑Residentially distressed area(IC 6-1.1-12.1-4.1) property owner is confidential per C 6-1.1-12.1-5.1 INSTRUCTIONS: 1. This statement must be submitted to the body designating the Economic Revitalization Area prior to the 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 designating body BEFORE the redevelopment or rehabilitation of real property for which the person wishes 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 initiation of the redevelopment or rehabilitation for which the person desires to claim a deduction. 3. To obtain a deduction,a Form 3221REmustbe filed with the County Auditor before May 10 in the yearin which the addition to assessed valuation is made or not later than thirty(30)days after the assessment notice is mailed to the property owner ifit was mailed afterApril 10. A property owner who failed to file a deduction application within the prescribed deadline may No an application between March 1 and May 10 of a subsequentyear. 4. A property owner who files for the deduction must provide the County Auditor and designating body with a Form CF-1/Real Property, The Form CF-1/Real 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. IC 6-1.1-12.1-5.1(b) 5. For a Form SB-1 1Real Property that is approved after June 30, 2013, the designating body is required to establish an abatement schedule for each deduction allowed. For a Form SB-1/Real Property that is approved prior to July 1, 2013, the abatement schedule approved by the designating body remains in effect. IC 6-1.1-12.1-17 SECTION TAXPAYER INFORMATION Name of taxpayer River Park Leasing Corporation Address of taxpayer(number and street,city,state,and ZIP code) c/o Randall Hesser; 121 West Franklin, Suite 400; Elkhart, Indiana 46516 Name of contact person Telephone number E-mail address Randall Hesser 1( 574) 294-7491 SECTION 2 LOCATION AND D . PROJECT Name of designating body Resolution number Common Council of City of South Bend Location of property County DLGF taxing district number SW Corner of Main St. and Jefferson Blvd., South B I St. Joseph 71-011 Description of real property improvements,redevelopment,or rehabilitation(use additional sheets ifnecessary) Estimated start date(month,day,year) Proposed investment of at least$9,000,000 to the development and construction of a new office building(with first March 2018 floor retail)at the SW comer of Main Street and Jefferson Blvd.,in South Bend,Indiana. Estimated completion date(month,day,year) July 2019 SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PROPOSED PROJECT Current number Salaries Number retained Salaries Number additional Salaries 15 750000 • r . . •-. REAL ESTATE IMPROVEMENTS COST ASSESSED VALUE Current values Plus estimated values of proposed project Q Less values of any property being replaced Net estimated values upon completion of project 90000M , -SECTIOW5 WASTE CONVERTED AND OPROMISED BY THE TAXPAYER Estimated solid waste converted(pounds) Estimated hazardous waste converted(pounds) l'99181jsestimates that the project will result in the creation of at least 15 new full time jobs having an annual payroll of$750,000 within three years of building completion. These jobs are in addition to the creation of employment by tenants within the first floor retail and office tenants on floors 2-4 of the building. • CERTIFICATION 1 hereby certify that the representations in this statement are true. Signature of autho' ed representative Date signed(month,day,year) Nov. t0 , 2017 Printed name of authorized representative Title �'Of.►nrt� Ck-cJ�9 �-�+9�JSr// �60.