05-23-2022 FINAL Notice and Agenda Packet - Amended

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STATEMENT OF BENEFITS REAL ESTATE IMPROVEMENTS State Form 51767 (R6 / 10-14) Prescribed by the Department of Local Government Finance I •w ... v��-:=�:r I MAY 1 R 2027 . l _____ ------------ ___ i I _ DAWN M JONES -L_Ql ry CLERI<:, SOUTH BEND if\ ---,��----�"-,---·�·�-,-·--��----�-,��,-' :.,..._ l 11 20 __ PAY 20 __ . lJ FORM S8-1 / Real Property PRIVACY NOTICE This statement is being completed for real property that qualifies under the following Indiana Code (check one box): lZI Redevelopment or rehabilitation of real estate improvements (IC 6-1.1-12.1-4) Any information concerning the cost of the property and specific salaries paid to individual employees by the D Residentialiy distressed area (IC 6-1.1-12.1-4.1) f<roperty owner is confidential per cs-1.1-12.1-s.1. INSTRUCTIONS: 1.This statement must be submitted to the body designating the Ec.onomic 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 besubmitted to the designating body BEFORE the redevelopment or rehabilitation of real property for which the person wishes to claim a deduction. 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 the redevelopment or rehabilitation for which the person desires to claim a deduction. 3.To obtain a deduction, a Form 322/RE must be filed with the County Auditor before May 10 in the year in which the addition to assessed valuation ismade 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 whofailed to file a deduction application within the prescribed deadline may file an application between March 1 and May 10 of a subsequent year.4. A property owner who files for the deduction must provide the County Auditor and designating body with a Form CF-1/Real Property The Fonn CF-1/RealProperty should be attached to the Form 322/RE 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/Real Property that is approved after June 30, 2013, the designating body is required to establish an abatement schedule for each 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 remains in effect. IC 6-1.1-12.1-17 Name of taxpayer GLC Portage Prairie V, LLC Address of taxpayer (number and street, city, state, and ZIP code) 130 S Main St Suite 320, South Bend, IN 46601 Name of contact person Telephone number City of South Bend Location of property County St. Joseph Description of real property Improvements, redevelopmen� or rehabilitation (use addifional sheets if necessary) 296,400 SF warehouse building on 30 acres of land in the Ameriplex Industrial Park COST Current values 900,000 Plus estimated values of proposed project 15 000 000+ E-mail addressihall@greatlakescapital.com Resolution number DLGF taxing district number Estimated start date (monlh, day. year) June 1, 2022 Estimated completion date (month, day, year) Jan. 1,2024 Salaries $18 hr+ ASSESSED VALUE Asssessed Per Re 17 Estimated solid waste converted (pounds) _________ _ Estimated hazardous waste converted (pounds) _______ _ Other benefits I hereby certify that the representations in this statement are true. Signature of authorized repres Printed name of authorized re Jt: r != S. M o \(. €'° Page 1 of2 I Date signed (month, day. year) IV\ ,' I I., I 1-<) 1;z_ TIUe M /lc...J _.,\at.,«__