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Filed in Clerk's Office I <br /> � STATEMENT OF BENEFITS MAR 08 ?V <br /> 20�PAY 20_ <br /> a - REAL ESTATE IMPROVEMENTS __ _ <br /> State Form 51767(R6/10-14) ®AWMI M.JONES FORM SB-1 I Real Property <br /> ° Prescribed by the Department of Local Government FinaICITY CLERK,SOUTH BEN®,IN 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 /> 21 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 /> IC 6-1.1-12.1-5.1. <br /> INSTRUCTIONS: <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 322/RE 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 files for the deduction must provide the County Auditor and designating body with a Form CF-1/Real Property. The Form CF-1/Real <br /> 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. <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 1 TAXPAYER INFORMATION <br /> Name of taxpayer <br /> Coast Southwest, Inc. <br /> Address of taxpayer(number and street,city,state,and ZIP code) <br /> 505 S. Melrose Street, Placentia, CA 92870 <br /> Name of contact person Telephone number E-mail address <br /> Lisette Minadeo ( 714) 524-2777 x 140 Iminadeo@coastsouthwest.tr <br /> SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT <br /> Name of designating body Resolution number <br /> City of South Bend, IN <br /> Location of property County DLGF taxing district number <br /> 7468 Vorden Parkway, South Bend, IN 46628 St. Joseph 037-South Bend Warren <br /> Description of real property improvements,redevelopment,or rehabilitation(use additional sheets if necessary) Estimated start date(month,day,year) <br /> Developing 10.58 acre site with 94,000 square foot tilt panel office/warehouse and July 2023 <br /> manufacturing facility with dock doors for distribution. Estimated completion date(month,day,year) <br /> June 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 /> 1 $40/hr 1 $40/hr 42 over 10 years Avg$31-44/hr <br /> SECTION 4 ESTIMATED TOTAL COST AND VALUE OF PROPOSED PROJECT <br /> REAL ESTATE IMPROVEMENTS <br /> COST ASSESSED VALUE <br /> Current values � 503,000 <br /> Plus estimated values of proposed project 7,000,000 <br /> Less values of any property being replaced <br /> Net estimated values upon com.letion of.ro'ect <br /> SECTION 5 WASTE CONVERTED AND OTHER BENEFITS PROMISED BY THE TAXPAYER <br /> Estimated solid waste converted(pounds) Estimated hazardous waste converted(pounds) <br /> Other benefits <br /> SECTION 6 TAXPAYER CERTIFICATION <br /> I hereby certify that the representations in this statement are true. <br /> Signature of awes five Date signed(month,day,year) <br /> 2/14/23 <br /> Printed name of authorized representative Title <br /> Olivia Cimo Corporate Secretary <br /> Page 1 of 2 <br />