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filed in Clerk's Office <br /> MAY 16 202Z <br /> STATEMENT OF BENEFITS DAWN M.JONES <br /> d; . I 20_PAY 20_ <br /> REAL ESTATE IMPROVEMENTS CITY CLERK, SOI_tTH SEND IN <br /> State Form 51767(R6/10-14) ��—� ­_-1-- FORM SB-1/Real Property <br /> Prescribed by the Department of Local Government Finance <br /> PRIVACY NOTICE <br /> This statement is being completed for real property that qualifies under the following Indiana Code(check one box): 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 /> paid to individual employees by the <br /> ❑Residentially distressed area(IC 6-1.1-12.1-4.1) property owner is confidential per <br /> INSTRUCTIONS: <br /> IC 6-1.1-12.1-5.1. <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 3221RE 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 riles for the deduction must provide the County Auditor and designating body with a Form CF-1/Real Property. The Form CF-I/Real <br /> Property should be attached to the Form 3221RE 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 <br /> SECTION •- • <br /> Name of taxpayer <br /> GLC Portage Prairie V, LLC <br /> Address of taxpayer(number and street,city,state,and ZIP code) <br /> 130 S Main St. Suite 320, South Bend, IN 46601 <br /> Name of contact person Telephone number E-mail address <br /> ( ) 574-276-18971 ihall@greatlakescapital.com <br /> SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT <br /> Name of designating body Resolution number <br /> City of South Bend <br /> Location of property County DLGF taxing district number <br /> St. Joseph <br /> Description of real property improvements,redevelopment,or rehabilitation(use additional sheets if necessary) Estimated start date(month,day,year) <br /> June 1, 2022 <br /> 296,400 SF warehouse building on 30 acres of land in the Ameriplex Industrial Park Estimated completion date(month,day,year) <br /> iJan. 1, 2024 <br /> SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PROPOSED PROJECT <br /> Current number Salaries Number retained Salaries Number additional Salaries <br /> 0 1 1 150-200+ 1$18 h r+ <br /> SECTION 4 ESTIMATED TOTAL COST AND VALUE OF PROPOSED PROJECT <br /> REAL ESTATE IMPROVEMENTS <br /> I COST I ASSESSED VALUE I <br /> Current values 1900,000 I I <br /> Plus estimated values of proposed project 115,000,000+ I Asssessed Per Reg 17 I <br /> Less values of any property being replaced I <br /> Net estimated values upon completion of project 1 15,000,000 Asssessed Per Reg 17 <br /> SECTION • .AND OTHER BENEFITS PROMISED <br /> Estimated solid waste converted(pounds) Estimated hazardous waste converted(pounds) <br /> Other benefits <br /> i <br /> SECTION <br /> • <br /> I hereby certify that the representations in this statement are true. <br /> Signature of authorized repres tative Date signed(month,day,year) <br /> ?t--4V,4.� <br /> Printed name of authorized re e e Title <br /> _1eFg= smolcc MANn4.Lrt__ <br /> Page 1 of 2 <br />