18-67 South Bend Ethanol, LLC Confirming Tax Abatement

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! Fiioci in Clerk's Office SEP 2 4 2010 I .: ;,� STATEMENT OF BENEFITS FORM 513-7 I PP e, PERSONAL PROPERTY I�f�Rif�'IRiiAI 1 f-OWLER l I.i ! State Form 51764(R4111.16) 1 (:I•I 'r CLERK,SOUTH BEND,IN ".LPrescribed by Iho Department of Local Government Finance-- •�---•---^—_._.._.- PRIVACY NOTICE Any Information concerning the cost or the property end specific salaries paid to Indluldual employees by Iho property owner Is confidential per IC 6-1.1-12.1-.S.1. INSTRUCTIONS 1. This statement must be submitted to the body deslgneting the Economic Revitalization Area prior to the public hearing If the designating body requires Information from the applicant In malting Its decision about whether to designate en Economic Revitalization Area. Othenvise 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. 2. The statement of benefits form must be submitted to iho designating body and the area designated en economic revitalization erca before the installation of qualifying abatable equipment for which the person desires to claim a deduction. 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 or with the county assessor If there Is no township assessor for the township. The 103-ERA must bo filed between January 1 end 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 four between January 1 and the extended due date of that year. 4. Property owners whose Statement of Benefits was approved,must submit Form CF-1/PP annually to show compliance with the Statement of Benefits. (IC 6-1,1-12.1-5.6) 5. Fora Form SEI-1/PP that Is approved alter June 30,2013,the designating body is required to establish an abatement schedule for each deduction allowed. Fore Font S9-1/PP 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 1 TAXPAYER INFORMATION _ , .-. i Nome of taxpayer Name of contact person I South Bend Ethanol LLC Robert Winks Address of taxpayer(numberand street,dhi slate,and ZIP cola) Telephone number 3201 W Calvert Street,South Bend,IN 46613 (574 ) 703-3360 SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT Name of deefpnattno body Resolution number(s) South Bend City Common Council Locallon of properly County OLGF taxing disidct number 3201 W Calvert Street,South Bend,IN 46613 Saint Joseph 7126032 Description of manufacturing equipment and/or research end development equipment ESTIMATED and/or Loggistical distribution equipment and/or Information technology equipment. START DATE COMPLETION DATE i (Use adUlllonal shoats If necessary.) 2-Boilers, 12-Fermentation Tanks,2-Centrifuges,Trlcanler,Dryer, Manufacturing Equipment 08/01/2018 12/31/2019 Beerwell,Heat Exchangers and miscellaneous equipment R&D Equipment Logist Dist Equipment ` IT Equipment 10/01/2018 12/31/2019 SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PROPOSED PROJECT i Current number Salaries Number retained Salaries Numberoddlldonal Salaries t 66 $4,294,865 66 $4,294,865 5 288,000 SECTION 4 ESTIMATED TOTAL COST AK)VALUE OF PROPOSED PROJECT ` MANUFACTURING LOGIST DIST ` NOTE:Pursuant to IC 6-1.1-12.1-5.1(1)(2)the R&D EgUIPMENI' EQUIPMENT IT EQUIPMENT r EQUIPMENT COST of the property Is confidential. COST ASSESSED COST ASSESSED COST ASSESSED COST ASVALUESESSED I VALUE VALUE VALUE r t. 138345/4 553/152 121400 65832 • Current values Plus estimated values of proposed project 29700000 11680000 300000 120000 Less Values of any property being replaced 861)401 344161 { Net estimated values u.on corn 421400 175832�Iel(on of,ro act 42674173 17072991 9ECTIO.N S WASTE COIWER:WDAAND OTMER OBITS rim/meow'NIE'E°x PAYER- None None Estimated solid waste converted(pounds) _ Esllmated hazardous waste converted(pounds) r Other banoflls: t S ' SJILQN 6: TAX.AAYER c`�e�iTIFIC TIQN . . {` I hereby ce . 'the repres Ifs In this statement are true. _ 1 Siunalu • cod repre;yrf Delo stoned(month,day,year) I August 1,2018 I 'dn}•d some of aulhodg d representative —Tit',Boris Bystrov Vice President , , Pagel oft ilii; I i