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e ,� STATEMENT OF BENEFITS L_ FORM SBA 1 PP
<br />x* PERSONAL PROPERTY
<br />e� ,. ay, State Form 51764 (R 1 1 -015)
<br />Prescribed by the Department of Local Government Finance PRIVACY NOTICE
<br />The cost and any specific individual's
<br />salary information is confidential; the
<br />balance of the filing9 is pktb1 c record
<br />or tC 6-i.1- 12.1 -5.1 (r) and (d)-
<br />INSTRUCTIONS:
<br />1. This statemont must be submitted to the body designating the Economic Revitali2ation 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 E=conomic Revitalization Area. Otherwise this statement must be submitted
<br />to the designating body SEFORF a person installs the new manufacturing equipment and /or research and development equipment, and/or logistical distribution
<br />equipment andlor information technology equipment for which the person wishes to claim a deduction. Projects" planned or committed to after July 1, 1987,
<br />and areas designated after July 1, 1987, require a STATEMENT OF BENEFITS.
<br />2. Approval of the designating body (City Council, Town Board, County Council, etc.) most he obtained prior to installation of the new manufacturing equipment
<br />andlor research and development equipment andlorlogisfical distribution equipment andlor information technology equipment, BEFORE a deduction may
<br />be approved
<br />3. To obtain a deduction, a person must file a carrXed deduction schedule with the person's personal property return on a certified deduction schedule (Form
<br />103 -ERA) with the township assessor of the township whero the property is situated. The 103 -ERA must be filed between March 1 and May 15 of the
<br />assessment year in which new manufacturing equipment andlor research and development equipment and/or logistical distribution equipment andlor
<br />information technology equipment is installed and fully functional, unless a filing extension has been obtained. A person who obtains a filing extension must
<br />file the form between March 1 and the extended due date of that year,
<br />4. Property owners whose Statement of Benefits w &s approved after June 30, 1991, must submit Form GF•1 1 PP annually to show compliance with the
<br />Statement of Benefits. (IC
<br />5. The schedules established under ICS !.1 12.1 4.5(d) and (e) apply to equipment installed after March 1, 2001. For equipment installed prior to March 2,
<br />2001, the schedules and statutes In effect at the time shall continue to apply. (IC 6- 1.1- 12.1 -4.5(p and (g))
<br />Name of taxpayer
<br />Stanz Foodservice, Inc., Stanz Realty Co., LLCM, Stanz Cheese Co Inc. - -- - -`� -- --- _- - - - - -�
<br />Address of taxpayer (number and street, city, state. and ZIP case)
<br />1840 N. Commerce Drive, South Bend, Indiana 46628
<br />Name of contact person - ---^^_ .-. -.. _......,...._.- _,., -_ ..�._ �._- ..,,........ Telephone humfleY
<br />Mark Harman, President (674) 232 -6666
<br />■ N 2.:. LOCATION • r • OF -•P• a PROJECT
<br />Name of designating body Resolution number (s)
<br />Common Council of the City of South Bend
<br />Location of property County IDLGF Sexing d strit,l number
<br />1840 N. Commerce Drive, South Send, Indiana 46628 �- St. Joseph 018
<br />Description of manufacturing equipment andfar research and development equipment - FSTiMATED
<br />and/or logistical distribution equipment andlor information technology equipment.
<br />(use additional sheets if necessary) START DATE COMPLETION DATE
<br />Proposed investement in new logistical distribution equipment and manufacturing Equipment
<br />information technology equipment including, without limitation, R & D Equipment !
<br />warehouse racking systems, fork lifts, pallet movement Logist cis! Equipment —
<br />mechanisms, GPS monitoring and tracking systems and related. 06/01/2008 05/3112010
<br />IT Equipment 06/01/2008 05/31/2010
<br />Current number Salaries Number retained Salaries Number additional Salaries
<br />171 7,254,000.00 171 ? 7,250,000.04
<br />NOTE: Pursuant to 1C &1.1- 12.1 -F.1 (d) (2) the
<br />COST of the property is canfidcntial.
<br />Current vetoes
<br />MANUFA TURING
<br />R & O EQUIPMENT
<br />EQU PARENT
<br />IT EQUIPMENT
<br />COST
<br />ASSESSED
<br />VALUE
<br />COST
<br />ASSESSED
<br />VALUE
<br />COST
<br />ASSESSED
<br />VALUE
<br />COST
<br />ASSESSED
<br />VALUE
<br />Plus estimated values of proposed project
<br />Less values of any property being replaced —
<br />I
<br />- ,
<br />70.600AD
<br />150,06oA0
<br />_—
<br />I Net estimated values upon completion of project
<br />P P 1
<br />- - -
<br />7oo,oas,00 _
<br />c a • ; *:
<br />160,000.00
<br />Estimated solid waste converted (pounds)
<br />other benefits:
<br />Estimated hazardous waste converted (pounds}
<br />I heereby certify that the representations in this statement are true,
<br />4.gnature of trrtstorized representative: �Daie signed (month, day year)
<br />w _ TPresident - 12101/2410
<br />
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