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Filed in Clerk's Office <br /> STATEMENT OF BENEFITS 4I R 2 9 2019 i <br /> t 2020 PAY 2021 i <br /> 4:. <br /> REAL ESTATE IMPROVEMENTS' State Form 51767(R6/10-14) t fr`•J ,rl�>---T- FORM SB-1/Real Property <br /> `' Prescribed by the Department of Local Government Finance il <br /> CITY CLERK,SOUTH FEND,IN I PRIVACY NOTICE <br /> This statement is being completed for real property that qualifies under the following Indiana Code(check one bax)--- Any information concerning the cost • <br /> 0 Redevelopment or rehabilitation of real estate improvements(IC 6-1.1-12.1-4) of the property and specific salaries <br /> ❑Residential) distressed area(IC 6-1.1-12.1-4.1 ppr perd to i owners conempfidential <br /> p the <br /> y 1 IC 6-1.1-12.1-5.1 <br /> property <br /> per <br /> INSTRUCTIONS: <br /> 1. 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 <br /> submitted to the designating body BEFORE the redevelopment or rehabilitation of real property for which the person wishes to claim a deduction. <br /> 2. The statement of benefits form must be submitted to the designating body and the area designated an economic revitalization area before the initiation of <br /> the redevelopment or rehabilitation for which the person desires to claim a deduction. <br /> 3. To obtain a deduction,a Form 322/RE must be filed with the County Auditor before May 10 in the year in which the addition to assessed valuation is <br /> made or not later than thirty(30)days after the assessment notice is mailed to the property owner if it was mailed after April 10. A property owner who <br /> failed to file a deduction application within the prescribed deadline may file an application between March 1 and May 10 of a subsequent year <br /> 4. A property owner who files for the deduction must provide the County Auditor and designating body with a Form CF-1/Real Property. The Form CF-1/Real <br /> Property should be attached to the Form 322/RE when the deduction is first claimed and then updated annually for each year the deduction is applicable. <br /> IC 6-1.1-12.1-5.1(b) <br /> 5. For a Form SB-1/Real Property that is approved after June 30, 2013, the designating body is required to establish an abatement schedule for each <br /> deduction allowed. For a Form SB-1/Real Property that is approved prior to July 1, 2013,the abatement schedule approved by the designating body ! <br /> remains in effect. IC 6-1.1-12.1-17 (I <br /> SECTION 1 TAXPAYER INFORMATION 1 <br /> Name of taxpayer <br /> CATALYST THREE LLC i <br /> Address of taxpayer(number and street,city,state,and ZIP code) <br /> 112 WEST JEFFERSON BLVD., SUITE 200 <br /> Name of contact person Telephone number E-mail address <br /> Jeff Smoke,Director (574 ) 251-4400 JEF jsmoke(d.greatlakescapital.cpm }( <br /> SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT <br /> t <br /> Name of designating body Resolution number <br /> Common Council of City of South Bend i <br /> Location of property `County DLGF taxing district number <br /> 1 <br /> Ignition Park <br /> Description of real property improvements,redevelopment,or rehabilitation(use additional sheets if necessary) I Estimated start date(month,day,year) <br /> JI November 2019 <br /> Proposed investment of over$16,000,000 for new construction of office building in Ignition Park Estimate <br /> dcompletion date(month,day,year) <br /> Feb. 20121 <br /> SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PROPOSED PROJECT <br /> Current number Salaries Number retained Salaries Number additional Salaries <br /> SECTION 4 ESTIMATED TOTAL COST AND VALUE OF PROPOSED PROJECT <br /> REAL ESTATE IMPROVEMENTS <br /> COST I ASSESSED VALUE <br /> Current values <br /> Plus estimated values of proposed project 16,000.000 <br /> iLess values of any property being replaced <br /> Net estimated values upon completion of project )16.000.00(1 <br /> SECTION 5 WASTE CONVERTED AND OTHER BENEFITS PROMISED BY THE TAXPAYER <br /> Estimated solid waste converted(pounds) Estimated hazardous waste converted(pounds) <br /> Other benefits <br /> tr <br /> SECTION 6 TAXPAYER CERTIFICATION <br /> I hereby certify that the represen ti\o in i statement are true. <br /> Signature of authorzed representaliv �t, I Dale sped(mmth,day,year) <br /> 3/0-9 /9 <br /> Printed name of authorized represents'e Title <br /> Page 1 of 2 <br />