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t4,,, STATEMENT OF BENEFITS <br />FORM SB-1 I PI-;-1iii . PERSONAL PROPERTY <br />State Form 51764(R4l 1 1-15)f Prescribed by the Department of Local Government Finance PRIVACY NOTICE <br />Ary inform_. _ty the 2051 <br />or the propery arm :peat c salaries paid <br />to individual employees by the property <br />owner is confidential per IC 6-1 1-12.1-5.1 <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 a person installs the new manufacturing equipment and/or research and development equipment,and/or <br />logistical distribution equipment and/or information technology equipment 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 installation <br />of qualifying abatable equipment for which the person desires to claim a deduction. <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 <br />Form 103-ERA)with the township assessor of the township where the property is situated or with the county assessor if there is no township assessor <br />for the township. The 103-ERA must be filed between January 1 and May 15 of the assessment year in which new manufacturing equipment <br />and/or research and development equipment and/or logistical distribution equipment and/or information technology equipment is installed and fully <br />functional.unless a filing extension has been obtained. A person who obtains a filing extension must file the form between January 1 and the extended <br />due date of that year. <br />4 Property owners whose Statement of Benefits was approved,must submit Form CF-1/PP annually to show compliance with the Statement of Benefits. <br />IC 6-1.1-12.1-5.6) <br />5. For a Form SB-1/PP that is approved after June 30,2013,the designating body is required to establish an abatement schedule for each deduction allowed. <br />Fora Form SB-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) <br />SECTION 1 TAXPAYER INFORMATION <br />Name of taxpayer Name of contact person <br />Bamar Plastics, Inc. Tricia Blair <br />Address of taxpayer(number and street,city state,and ZIP code) Telephone number <br />1702 Robinson St.South Bend, IN 46613 1 574 ) 234-4066 <br />SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT <br />Name of designating body Resolution number(s) <br />South Bend Common Council <br />Location of property County DLGF taxing district number <br />1702 Robinson St.South Bend,IN 46613 St.Joseph <br />Description of manufacturing equipment and/or research and development equipment ESTIMATED <br />and/or logistical distribution equipment and/or information technology equipment. <br />START DATE COMPLETION DATEUseadditionalsheetsitnecessary.) <br />Injection Molding Presses Material Grinders Manufacturing Equipment 04/01/2020 01/31/2022 <br />Robots Computers <br />R& D EquipmentConveyorsPhoneSystem <br />Pickers IT Server Logist Dist Equipment <br />ERP System CAD System <br />IT Equipment <br />A- •, i• -u <br />SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PROPOSED PROJECT <br />CJr-enl number 1SalariesI Number retained Salaries Number additional Solaces <br />14 1660,205 14 680,205 1 60,000 <br />SECTION 4 ESTIMATED TOTAL COST AND VALUE OF PROPOSED PROJECT <br />NOTE:Pursuant lc IC 6-1.1-12.1-5.1(d)( 2)the <br />MANUFACTURING R&D EQUIPMENT LOGIST DIST IT EQUIPMENT <br />EQUIPMENT EQUIPMENT <br />COST of the property is confidential. COST ASSESSED COST ASSESSED i COST ASSESSED COST ASSESSED <br />VALUE VALUE VALUE VALUE <br />Current values 2,587,513 L 70,111 <br />Plus estimated values of proposed project 432,104 E f 217,000 <br />Less values of any property being replaced 148,000 13,000 <br />Net estimated values upon completion of project 2,871,617 274,111 <br />SECTION 5 WASTE CONVERTED AND OTHER BENEFITS PROMISED BY THE TAXPAYER <br />Estimated solid waste converted(pounds) I Estimated hazardous waste converted(pounds) <br />Other benefits <br />SECTION 6 TAXPAYER CERTIFICATION <br />I hereby certify that the representations in this statement are true. <br />Signature of authorized ren Wive Date signed( nth.d year) <br />1Lr C.cr` ' -tet yob 3dgo <br />Printed name of authorized representativeTide <br />Tricia Blair 1 Secretary <br />Page 1 of 2