19-12 SWGS Properties, LLC Confirming Personal Property Tax Abatement

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,• �,,,, STATEMENT OF BENEFITS Filed in Clerk's Office FORM SB-1 /PP °t \_ PERSONAL PROPERTY rate Form 51764(R4/11-15) ' d' Prescribed by the Department of Local Government Fin rice JANr. PRIVACY NOTICE Any information concerning the cost of the property and spectic salaries paid ------ to individual employees by the property KAREEro, ,t<H.;JWLR owner isconrrdendei per ICs-1.i-12.1-5.1. INSTRUCTION,° CITY CLERK, qr ,,•'',,BEND,I, q. This statement must be submitted to the body designating the Economic 'evr as 017obtrArea pito - • , •• • aring if the designating body requires Information tkam the applicant in making ifs 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 distibution equipment and/or information technology equipment for which the person wishes to claim a deduction. 2. The stateme,ot of benefits form must be submitted to the designating body and the area designated an economic revitalization area before the installation of qualifying ebatable 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-ESA)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 town;hip. The 103-ERA must be flied between January 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,uitless a filing extension nes been ootained. A person who obtains a filing extension must file the form between January 1 and the extended due date of hat year. 4. Property owr 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 Form SS-1/PP that Is approved after June 30,2013,the designating body is required to establish an abatement schedule for each deduction allowed. Fora Form 5B-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 Name of taxpaye Y • S .jta;r}1_,,, .a 5 , L L__ Name of contact person Grace Steel LLC(Pam Andre is Woman()wrier) David Andre, Owner Address of taxpe rer(number and street,city state,and ZIP code) Telephone number 21601 DurhaTn Way. Bristol, IN 48507 ( 574 ) 536-2445 SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT Name of des,gne►ing body Resolution number(a) City Council Of South Bend Location of prop rty T County DLGF taxing district number 2920 West Sample Street,South Bend,IN 46619 ST JOSEPH 026 Description of manufacturing equipment and/or research and development equipment ESTIMATED and/or tog istici I distribution equipment and/or information technology equipment. START DATE I COMPLETION DATE (Use additronar sheets If necessary.) Company w II purchase manufacturing equipment for hot and cold rolled metal Manufacturing Equipment 02/15/2019 12/31/2020 products to serve 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 Salnrio, Number retained 1 Salaries Number a• ane Salaries 0 $0 0 1 $0 0 $416,000.00 SECTION 4 ESTIMATED TOTAL COST AND VALUE OF PROPOSED PROJECT NOTE:Pursuant to IC 6-1.1-12.1-5.1 (d)(2)the MANUFACTURING R&D EQUIPMENT LOG13T DIST IT EQUIPMENT EQUIPMENT EQUIPMENT COST of the property is confidential. COST ASSESSED COST ASSESSED COST ASSESSED COST ASSESSED VALUE VALUE VALUE VALUE Current value, Plus estimated values of proposed project 700,000 210,000 Less values of any property being replaced Net estimated values upon completion of project 210,000 1 SECTION ' WASTE CONVERTED AND OTHER BENEFITS PROMISED BY THE TAXPAYER Estimated so d waste converted(pounds) Estimated hazardous waste converted(pounds) Other benefits: SECTION 1 TAXPAYER CERTIFICATION I hereby certfy that t : ea-sent- of Ar in I sta -. em are true. Signature of autionzed r pre stat, - - Date signed(month,day year) ---- January 4, 2019 Printed name o au • zed representative Title David Andre Owner Page 1 of 2