4957-22 Resolution Confirming Intersection Dylan Dr. and Adams Rd. 7 yr Tax Abatement

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flied in Clerk's Office MAY 16 2022 0° ---, STATEMENT OF BENEFITS DAWN{VI, I 20_PAY 20_ a JONES ir., :.e REAL ESTATE IMPROVEMENTS CITY CLERK, SOI tT :_;t ; -.� __ H BEND IN i _.`' State Form 51767(R6/10-14) ----.— FORM SB-1/Real Property i taro Prescribed by the Department of Local Government Finance PRIVACY NOTICE This statement Is being completed for real property that qualifies under the following Indiana Code(check one box): Any information concerning the cost Redevelopment or rehabilitation of real estate improvements(IC 6-1.1-12.1-4) of the property and specific salaries P P paid to individual employees by the ❑Residentially distressed area(IC 6-1.1-12.1-4.1) roperty owner is confidential per i IC 6-1.1-12.1-5.1. INSTRUCTIONS: 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 property for which the person wishes to claim a deduction. i 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 is 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 failed 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 Form CF-1/Real Property 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(6) 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 1 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 SECTION 1 TAXPAYER INFORMATION s Name of taxpayer i 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 i Name of contact person Telephone number E-mail address I ( ) 574-276-1897 ihall@greatlakescapital.com 1 SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT 1 Name of designating body Resolution number City of South Bend Location of property I County DLGF taxing district number i St. Joseph Description of real property improvements,redevelopment,or rehabilitation(use additional sheets if necessary) Estimated start date(month,day,year) • June 1, 2022 296,400 SF warehouse building on 30 acres of land in the Ameriplex Industrial Park Estimated completion date(month,day,year) Jan. 1, 2024 SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PROPOSED PROJECT •4 Current number Salaries Number retained Salaries Number additional Salaries 0 50-200+ $18 hr+ 9 SECTION 4 ESTIMATED TOTAL COST AND VALUE OF PROPOSED PROJECT 1 REAL ESTATE IMPROVEMENTS i • COST ASSESSED VALUE Current values 1900,000 t Plus estimated values of proposed project 1 15,000,000+ Asssessed Per Req 17 ; Less values of any property being replaced Net estimated values upon completion of project 15 000 000 Asssessed Per Rep 17 SECTION 5 WASTE CONVERTED AND OTHER BENEFITS PROMISED BY THE TAXPAYER gggggg • Estimated solid waste converted(pounds) Estimated hazardous waste converted(pounds) Other benefits I I i SECTION 6 TAXPAYER CERTIFICATION I hereby certify that the representations in this statement are true. Signature of authorized repress tative, I Date signed(month,day,year) 1 ` MAi 1t,, , zoLZ Printed name of authorized re..'.e el/e Title -JEFF SMoitE MAA.)A4.t;-11..-.. Page 1 of 2 .