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STATEMENT OF BENEFITS FORM 58-7 f PP <br /> PERSONAL PROPERTY <br /> ' State Form 51764(R 11-06) 7af CY NOTICE <br /> ti f Prescribed by the Department of Local Govemment Finance ny specific Individual's <br /> ion fs confidential; the <br /> Ming is public record <br /> 15.#{c)and(d). <br /> INSTRUCTIONS: <br /> I. This statement must be submitted to the body designating the Economic Revitalization 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 Economic Revitalization Area, Otherwise this statement must be submitted <br /> to the designating body BEFORE a person installs the new manufacturing equipment and/or research and development equipment,and/or logistical distribution <br /> equipment and/or 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, 1587,require a STATEMENT OF BENEFITS. (iC 6-1.1-12,1) <br /> 2. Approval of the designating body(City Council, Town Board, County Council, etc.)must be obtained prior to installation of the new manufacturing equipment <br /> and/or research and development equipment and/or logistical distribution equipment and/or information <br /> be approved. technology equipment BEFORE a deduction may <br /> 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- <br /> 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 <br /> year in which new manufacturing equipment and/or research and development equipment and/or logistical distribution equipment and/or information technology <br /> 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 <br /> March 1 and the extended due date of that year. <br /> 4. Property owners whose Statement of Benefits was approved after June 30, 1991,must submit Form CF-I/PP annually to show compliance with the Statement <br /> ofBeneftts, (IC 6-1.1-12.1-5.5) <br /> 5. The schedules established under IC 641-12,f-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(t)and(g)) <br /> Name of taxpayer <br /> LOCK JOINT TUBE,LLC and/or STEEL WAREHOUSE COMPANY,LLC <br /> Address of taxpayer(number and street,city, state and ZIP code) <br /> 515 W. Ireland Road, South Bend, Indiana 46614 <br /> Name of contact person Telephone number <br /> Robert Strzelecki, Controller <br /> (574)299-3455 <br /> Name of designating body Resolution number(s) <br /> Common Council of the City of South Bend <br /> Location o€property County DLGF taxing district number <br /> 1217 S.Walnut Street, South Bend, Indiana 46619 St,Joseph 026(SB-Portage) <br /> Description of manufacturing equipment and/or research and development equipment ESTIMATED <br /> and/or logistical distribution equipment and/or information technology equipment Start Date Completion Date <br /> (use additional sheets if necessary) <br /> Manufacturing Equipment September 2012 March 2014 <br /> Proposed installation of new manufacturing, information technology and logistical R&D Equipment <br /> Distribution equipment used in the manufacture of steel tubing and related products <br /> having an original cost in excess of$8,000,000 Logist Dist Equipment September 2012 March 2014 <br /> IT Equipment September 2D12 March 2014 <br /> Zurren:tn umber Sal aries Number retained Salaries Number additional Salaries 56 _$2,300,000 56 --$2,300,000 7-11 �-$210k-$330k e e • ® e -e•s � °-e <br /> MANUFACTURING LOGIST DIST <br /> NOTE: Pursuant to IC 6-1.1-12.1-5.1(d)(2)the EQUIPMENT R&0 EQUIPMENT EQUIPMENT IT EQUIPMENT <br /> COST of the property is confidential, Assessed Assessed Cost Assessed Cost Assessed <br /> Cost Value Cost Value Value Value <br /> Current values -�6.5MM -1.8MM $D N/A $0 N/A--E:Plus estimated values of proposed project -$6..5--7.5 Reg.16 -1.4MM Reg,16 -100k Reg.18 <br /> Less values of any property being replaced NIA NIA N/A N/A N/A NIA <br /> iMirins Mel <br /> Net estimated values upon completion of project $13-14 MM Reg, 16 -1 AMM Reg. 16 -100k Reg,16 <br /> Estimated solid waste converted(pounds) Estimated hazardous waste converted(pounds) <br /> Other Benefits; <br /> • ' e <br /> I hereby certify that the representations in this statement are true, <br /> re a thorized r en Title I Date sig ed(month,day,year) <br /> Robert Strzelecki, Controller March,2012 <br />