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STATEMENT OF BENEFITS <br /> jcs 1 PERSONAL PROPERTY I FORM SB-1 /PP I <br /> �. t/ State Form 51764(R4/'1-15) <br /> i• ii Prescribed by the Department of Local Government Finance PRIVACY NOTICE <br /> Any informator concerning the cast <br /> of me property and specific salaries paid <br /> to indindual 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 /> • <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 /> l (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 or 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 /> For a 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 skeet,city state,and ZIP code) Telephone number <br /> 1702 Robinson St.South Bend,IN 46613 ( 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 /> r 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. START DATE COMPLETION DATE <br /> (Use additional sheets if necessary) <br /> Injection Molding Presses Material Grinders Manufacturing Equipment 04/01/2020 01/31/2022 <br /> Robots Computers R&0 Equipment <br /> Conveyors Phone System <br /> Pickers IT Server Logist Dist Equipment <br /> ERP System CAD System IT Equipment 1 <br /> 5 - .1 i• :ii <br /> SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PROPOSED PROJECT <br /> Current number Salaries Number retained Salaries Number additional Salaries <br /> 14 $560,5c5 I 14 $680,205 1 $60,000 <br /> SECTION 4 ESTIMATED TOTAL COST AND VALUE OF PROPOSED PROJECT <br /> NOTE:Pursuant to IC 6-1.1-12.1-5.1(d)(2)the MANUFACTURING R&0 EQUIPMENT LOGIST DIST IT EQUIPMENT <br /> EQUIPMENT iiotfiPMENT <br /> COST of the property is confidential. COST ASSESSED COST ASSESSEC ASSESSEDVACOs' ', ASSESSED <br /> VALUE LUE ,s'_uE VALUE <br /> Current values 2,587,513 �_ 70,111 <br /> Plus estimated values of proposed project 432,104 217,000 <br /> Less values of any property being replaced 148,000 __L 13,000 <br /> Net estimated values upon completion of project 2,871,617 I I 274,111 <br /> SECTION 5 WASTE CONVERTED AND OTHER BENEFITS PROMISED BY THE TAXPAYER <br /> Estimated solid waste converted(pounds) --__=__I <br /> =stiroated nazardcus was;e convened(pounds/ <br /> OM-,. <br /> SECTION 6 TAXPAYER CERTIFICATION <br /> 1 hereby certify that the representations in this statement are true. <br /> Signature of authorized re ceeLfbve cii Dain • i --tit.0 11-ar) <br /> Printed name of authorized representative Tide <br /> Tricia Blair Secretary <br /> Page 1 of 2 <br />