19-29 GLC Portage Prairie IV Confirming Real Property Tax Abatement

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Filed in Clerk's Office STATEMENT OF BENEFITS I 20 20 PAY 20 21 t REAL ESTATE IMPROVEMENTS MAR 2 9 2019 lel State Form 51767(R6/10-14) FORM SB-1 i Real Property + Prescribed by the Department of Local Government Rnapce {{q N Wt PRIVACY NOTICE This statement is being completed for real property that qualifies under tt'e rn iRNKUI�FLQec7ti4nPbox): Any information concerning the cost (.L K ((I of the property and specific salaries redevelopment or rehabilitation of real estate improvements(IC 6-1.1-_ �_ S�U'�SEND,IN paid to individual employees by the ❑Residentially distressed area(IC 6-1.1-12.1-4.1) —— property owner Is confidential per IC 6-1.1-12.1-5.1. INSTRUCTIONS: 1. This statement must be submitted to the body designating the Economic Revitalization Area prior to the public hearing if the designating body requires information from the applicant in making its decision about whether to designate an Economic Revitalization Area. Otherwise,this statement must be submitted to the designating body BEFORE the redevelopment or rehabilitation of real property 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 initiation of the redevelopment or rehabilitation for which the person desires to claim a deduction. 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 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 failed to file a deduction application within the prescribed deadline may file an application between March 1 and May 10 of a subsequent year. . 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 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. lC 6-1.1-12.1-5.1(b) 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 deduction allowed. For a Form SB-1/Rea!Property 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 taxpayer • GLC Portage Prairie IV I Address of taxpayer(number and street,city,state,and ZIP code) 112 W Jefferson Suite 200 Name of contact person Telephone number E-mail address Jeff Smoke,Director of Development ( ) 574-855-5700 jsmoke@greatlakescapital.co SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT Name of designating body Resolution number Common Council of City of South Bend Location of property County DLGF taxing district number NE Corner of Adams Road and U.S.31 Bylass St.Joseph I Description of real property improvements,redevelopment,or rehabilitation(use additional sheets if necessary) Estimated start date(month,day,year) , July 15 2019 Proposed investment of over$7,000,000 in the construction of a—166,000 square foot facility Estimated completion date(month,day,year) January 2021 SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PROPOSED PROJECT Current number Salaries Number retained Salaries Number additional Salaries • SECTION 4 ESTIMATED TOTAL COST AND VALUE OF PROPOSED PROJECT i REAL ESTATE IMPROVEMENTS I COST I ASSESSED VALUE 1 Current values 1270,000 I I , 1 Plus estimated values of proposed project 17,200,000 Less values of any property being replaced Net estimated values upon completion of project ; SECTION 5 WASTE CONVERTED AND OTHER BENEFITS PROMISED BY THE TAXPAYER Estimated solid waste converted(pounds) Estimated hazardous waste converted(pounds) 1 Other benefits SECTION 6 TAXPAYER CERTIFICATION I hereby certify that the representati ns in this s tement are true. Signature of authorized representative Date signed(month,day,year) 3/Jelf11 Printed name of authorized representativ(� 1Title 1 n—rct' SMatIL- QfcCPr Page 1 of 2