12-13-10 Council Agenda & Packet

Home Browse Search

STATEMENT OF BENEFITS FORM SB -1 / PP PERSONAL PROPERTY L State Form 51764 tR i 1 -06) !-- PRIVACY NOTICE Prescribed by the Department of Local Government Finance ` Tha cost and any specific �ndnndual's salary infcrmalion is confdeOa3, the balance of the fiiing is public record per IC 6 -1 -1- 12.1 -5.1 (c) and (d). 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 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, 1987, and areas designated after July 1, 1987, require a STATEMENT OF BENEFITS. (IC 6 -1.1 -12.1) 2. Approval of the designating body (City Council, Town Board, County Council, etc.) must be obtained prior to installation of the new manufacturing equipment andlar 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 certified 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 t and the extended due dale of that year. 4. Property owners whose Statement of Benefits was approved alter June 30, 1991, must submit Form CF -1 / PP annually to show compliance with the Statement of Benefits. fIC61.1- i2.1 -5.6) 5. The schedules established under IC 6- 1,1 -12. f -4.5 (d) and (e) apply to equipment installed after equipment installed prior to March Z 2001, the schedules and statutes in effect at the time shall continue to app ar�d.1�)l+lta Name of taxpayer 5tanz Foodservice,fnc. Address of taxpayer (number and street, city, state and ZIP code) 1840 N. Commerce Drive, South Bend, Indiana 4662$ Name of contact person ^` phone number LI Mark Harman, President (574) 235 -8524 s a e rr r E- r-'s Name of designating body Resolution number(s) Common Council of the City of South Bend Location of property County DLGF taxing district number 1840 N. Commerce Drive. South Bend, Indiana St. Joseph 018 Description of manufacturing equipment and/or research and development equipment ESTIMATED and/or logistical distribution equipment and/or information technology equipment Start Date Comp3etion Date (use additional sheets if necessary) Manufacturing Equipment Proposed investment in new logistical distribution equipment and information technology equipment including, without limitation, warehouse racking systems, R 8 D Equipment fork lifts, pallet movement mechanisms, GPS monitoring and tracking systems and tune, 2008 May, 2010 related systems. Logist DO Equipment IT Equipment June, 2008 May, 2010 Current number Salaries Number retained Salaries Number additional Salaries 171 17,250,000 171 - $7,250,000 N/A N/A NOTE: Pursuant to IC 6 -1.1- 12.1- 5.1(d)(2) the MANUFACTURING R & D EQUIPMENT LOG IST DIST IT EQUIPMENT EQUIPMENT EQUIPMENT COST of the property is confidential. Assessed Cot Assessed Assessed cost Value Cost Value st Value Cost Value Current values NIA NIA NiA N/A Plus estimated values of proposed project - 304 -700K Reg. 16 - 50 -150K Reg 16 Less values of any property being replaced NIA N/A NIA NIA Net estimated values upon completimiof project - 300 -700K Reg. 16 - 50 -150K Reg 16 Wng r - r r R r® •® >s Estimated solid waste converted (pounds) Estimated hazardous waste converted (pounds) Other Benefits: s +� i hereby certify that the representations in this statement are true. S' not of auth9jrized representative jTille Date signed (month, day, year) % �L�� Mark Harman, Pres +dent May 21, 2008