05-23-2022 FINAL Notice and Agenda Packet

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STATEMENT OF BENEFITS REAL ESTATE IMPROVEMENTS State Form 51767 (116 J 10-14) Prescribed by the Department of Local Government Finance ' { r i MAY 1 19 2027 1 20_PAY 20_ CITY CLGRIr ,SOUTH BEND ,\! `- = FORM SB-1 J Real Property PRIVACYNOTICE I This statement is being completed for real property that qualifies under the following Indiana Code (check one box): arty informaiiarroxtceming the cost Redevelopment or rehabilitation ofreal estate improvements (IC 6-1.1-12.1-4) orthe pia arttyy acidspreificsalMes paled to irrti6ua1 cmptayeas by the Residentially distressed area (IC 6-1.1-12-1-4.1) property ovraeria axrRdentiat per INSTRUCTIONS. IC 6-f.1-12.1.5.1- 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 properly for which theperson wishes to claim a deduction. 2. The statement of benefits farm must be submitted to the designating body and the area designated an economic revitalization area before the initiation of the redevefopment or rehabilitation for which the person desires to claim a deduction. 3. To obtain a deduction, a Fort 3221RE 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 thitty (30) days after the assessmentnotice is mailed to the property owner if it was mailed aflerAPM 10. A property owner who failed to file a deduction application within the prescribed deadline may rile an application between March 1 and May 10 of a subsequent year. 4. A property owner who files for the deduction must provide the CountyAuditor and designating body with a Form CF-I/Real Property. The Fonn CF-1lReal 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. iC 6-1.1-12.1-5.1(b) 5. For a Form SB-1/Rea1 Property that is approved aRer June 30, 2013, the designating body is required to establish an abatement schedule for each deduction allowed. For a Form SS-1/Real 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 INFORMATION Name a r taxpayer GLC Portage Prairie V, LLC Address of taxpayer (number an y sate., citf state, on 12+p ccdeJ 130 S Main St. Suite 320, South Bend, IN 46601 Name or contact person Telephone number E-rnail address ( ) 574-276-1897� ihall@greatlakescapital.com City of South Bend Resolution number Location at property 1 County DLGF taxing district number St. Joseph ❑escriplion or real property improvement:, redevelopment, or rehal;)4lalioi (use addieoaalshecls ilnc:essary) Estimated start date (rnorrth day, year) June 1, 2022 296,400 SF warehouse building on 30 acres of land in the Arneriplex Industrial Park Estimated completion dale(monli; day, y:ar) Jan. 1, 2024 SECTION 3 ESTIMATE OFEMPLOYEESAND SALARIES AS RESULT OF PROPOSED PROJECT Current number Salaries Number retalned Salaries Number additional Salaries 0 50-200+ $18 hr+ Currenlvalues Plus estimated values of proposed project Less values of any property being replaced Net estimated values upon complelion of pf� Estimated solid waste converted (pounds) Other benefits REAL ESTATE IMPROVEMENTS COST ASSESSED VALUE 900,000 15.000.000+ Asssessed Per Rea 17 15 000.000 1 Asssessed Per Reg 17 PROMISEDBENEFITS Estimated hazardous waste converted (pounds) SECTIONG TAXPAYER CERTIFiCATION I hereby certify that the representations in this statement are true. Slgnalwe of authorzed repres5'r�' Date signed (mono; day, year) M A y t to 1-o LZ. Printed name of authorized re e Title : EHF SMOILC � MA,) Page 1 of 2 {