19-11 SWGS Properties, LLC Designating Personal Property Tax Abatement

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0 0?.ra, STATEMENT OF BENEFITS Filed in Clerk's Office FORM SB-1 /PP PERSONAL PROPERTY tale Form 51764(R4/11 15) \i Prescribed by the Department of Local Government Fin,nce JAN E `U 1 y PRIVACY NOTICE Any information concerning the cost of the property and apeciftc salaries paid ---------- to individual employees by the property KAREE N.t..,t';-.,)WEER owner is confidential per IC 8-1.1-12.1.5.1. INSTRUCTIONS CITY CLERK, .;!,'',tBEND I. y. This statement must be submitted to the body designating the Economic -e aiizauo?TArea pilo - . • - aring if the designating body requires Information fktm the applicant in making its decision about whether to designate en 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 disribution 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 the designating body and the area designated an economic revitalization area before the installation of qualifying+hatable equipment for which the person desires to claim a deduction. 3. To obtain a/eduction, a person must file a certified deduction schedule with the person's personal property return on a certified deduction schedule (Form 103-EW)with the township assessor of the township where the properly is situated or with the county assessor if there is no township assessor for the town ship. The 103-ERA must be filed between January i and May 15 of the assessment year In which new manufacturing equipment and/or research anti development equipment and/or logistical distribution equipment and/or information technology equipment is installed and fully functional,unfess a filing extension rias been obtained. A person who obtains a riling extension must file the form between January 1 and the extended due date oft sat year. 4. Property owl ers 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. For a Form1/PP that Is approved after June 30,2013,the designating body is required to establish an abatement schedule for each deduction allowed. Fora Form�l/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 Name of texpaye .af j, s, S !4r1t, ,a 5 4 L e_ Name of contact person Grace Steel LLC(Pam Andre is Woman Owrier) David Andre, Owner Address of taxes'Sr(number and street,city state,and ZIP code) Telephone number 21601 Durha'n Way. Bristol, IN 46507 ( 574 ) 536-2445 SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT Name of design lig body Resolution number(s) City Council )f South Bend Location of prop/rty County DLGF taxing district number ll 2920 West Semple Street,South Bend,IN 46619 ST JOSEPH 026 Description of manufacturing equipment and/or research and development equipment ESTIMATED and/or logistical distribution equipment and/or information technology equipment. START DATE COMPLETION DATE (Use additional sheets H necessary.) Company w I purchase manufacturing equipment for hot and cold rolled metal Manufacturing Equipment 02/15/2019 12/31/2020 products to erve steel industry and other industrial markets. R&D Equipment Loglst Dist Equipment IT Equipment SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PROPOSED PROJECT Current number Saltines Number retained Satanas Number a •atony Salaries 0 50 0 I $0 10 $416,000.00 SECTION 4 ESTIMATED TOTAL COST AND VALUE OF PROPOSED PROJECT NOTE:Pursu snt to IC 6-1.1-12.1-5.1 (d)(2)the MANUFACTURINGST &D EQUIPMENT EQUIPMENT LOGIST IT EQUIPMENT EQUIPMENT COST of the property is confidential. COST ASSESSED COST ASSESSED COST ASSESSED COST ASSESSED VALUE VALUE VALUE VALUE Current value _ Plus estimate/.values of proposed project 700,000 210,000 Less values d any property being replaced Net estimate values upon completion of project 210,000 SECTION ' WASTE CONVERTED AND OTHER BENEFITS PROMISED BY THE TAXPAYER Estimated so d waste converted(pounds) Estimated hazardous waste converted(pounds) Other benefits! SECTION• TAXPAYER CERTIFICATION I hereby ce that t : ep,-sent- ogbt in I -. sta ,• em are true. Signature of au$lonzed r pro tate. Date signed(month,day,yeah -- January 4, 2019 Printed name a au • zed representative Title David Andre Owner Page 1 of 2