Confirming Tax Abatement - 4315 South Lafayette Blvd. - Heraeus Kulzer, Incorporated

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CITY OF SOUTH BEND PETITION FOR REAL PROPERTY TAX ABATEMENT CONSIDERATION The undersigned owner(s) of real property, located within the City of South Bend, hereby petition the Common Council of the City of South Bend for real property tax abatement consideration and pursuant to I.C., 6-1.1-12.1-1, et seq., and South Bend Municipal Code Sec. 2-76 et seq., for this petition states the following: 1. Describe the proposed redevelopment or rehabilitation project, including information about physical improvements to be made, the proposed use of the improvements, and a general statement as to the importance of the project to your business: Land Size 9.388 acres; Building Size 25000 sq.ft. 2. Describe the overall nature of the business and of the operations occurring at the Property (attach additional sheet if more space is needed): Manufacturing and Distribution of Dental Consumable Products. 3. Estimate the dollar value of the project (excluding land): $ 1,800,000 4. The current assessed valuation of the real property before rehabilitation, redevelopment, economic revitalization, or improvement: $_ 1,970,600 5. (a) The real property for which tax abatement consideration is petitioned (Property) is owned or to be owned by the following individuals or corporations (if the business organization is publicly held, indicate also the name of the corporate parent, if any, and the name under which the corporation has filed with the Securities and Exchange Commission): NAME ADDRESS INTEREST (%) Heraeus Kulzer, Inc. 4315 S Lafayette Blvd. 100% (Rev 10/23/06)