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.,4.i:j , STATEMENT OF BENEFITS <br /> FORM SB-1 /PP <br /> ,� i . PERSONAL PROPERTY <br /> *.. ' State Form 51764(R5/1-21) <br /> ,, / PRIVACY NOTICE <br /> •"r' Prescribed by the Department of Local Government Finance <br /> -,...,!ilia Any information concerning the cost <br /> of the property and specific salaries paid <br /> to individual employees by the property <br /> owner is confidential per 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 a person installs the new manufacturing equipment and/or research and development equipment,and/or <br /> logistical distribution equipment and/or information technology equipment 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 installation of <br /> qualifying abatable equipment for which the person desires to claim a deduction. <br /> 3. To obtain a deduction,a person must file a certified deduction schedule with the person's personal property return on a certified deduction schedule <br /> (Form 103-ERA)with the township assessor of the township where the property is situated or with the county assessor if there is no township assessor for <br /> the township. The 103-ERA must be filed between January 1 and May 15 of the assessment year in which new manufacturing equipment and/or research <br /> and development equipment and/or logistical distribution equipment and/or information technology equipment is installed and fully functional, unless a filing <br /> extension has been obtained. A person who obtains a filing extension must file the form between January 1 and the extended due date of that year. <br /> 4. Property owners whose Statement of Benefits was approved,must submit Form CF-1/PP annually to show compliance with the Statement of Benefits. <br /> (IC 6-1.1-12.1-5.6) <br /> 5. For a Form SB-1/PP that is approved after June 30, 2013, the designating body is required to establish an abatement schedule for each deduction allowed. <br /> For a Form SB-1/PP 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) <br /> SECTION 1 TAXPAYER INFORMATION <br /> Name of taxpayer Name of contact person <br /> Verbio South Bend <br /> l irst Name. Ryan Last Name: Ag u i l os <br /> Address of taxpayer Telephone number Email <br /> Number and'dreel: 32011/V. Calvert Street Lily.. South Bend s.:: IN zip.46628 (908)692-6221 ryan.aguilos@verbio.us <br /> SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT <br /> Name of designating body Resolution number(s) <br /> Common Council of the City of South Bend <br /> Location of property County DLGF taxing district number <br /> Number and Street: 3201 W. Calvert Street ow, South Bend State: I N ZIP:46628 St. Joseph 026(South Bend-Portage) <br /> Description of manufacturing equipment and/or research and development equipment ESTIMATED <br /> and/or logistical distribution equipment and/or information technology equipment. START DATE COMPLETION DATE <br /> (Use additional sheets if necessary) <br /> Manufacturing Equipment 5/1/2023 12/31/2023 <br /> R&D Equipment <br /> Logist Dist Equipment <br /> IT Equipment 5/1/2023 12/31/2023 <br /> SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PROPOSED PROJECT <br /> Current Number Salaries 1 00'000 Number Retained Salaries 1Q 1 00'000 Number Additional Salaries <br /> 100,000 <br /> $ 618 $ <br /> SECTION 4 `V ESTIMATED TOTAL COST AND VALUE OF PROPOSED PROJECT <br /> NOTE: Pursuant to IC 6-1.1-12.1-5.1 (d)(2)the MANUFACTURING R&D EQUIPMENT LOGIST DIST IT EQUIPMENT <br /> EQUIPMENT EQUIPMENT <br /> COST of the property is confidential. COST ASSESSED ASSESSED ASSESSED ASSESSED <br /> COST VALUE VALUE COST VALUE COST VALUE <br /> Current values $52,500,000 <br /> Plus estimated values of proposed project $226,500,000 $6,000,000 <br /> Less values of any property being replaced <br /> Net estimated values upon completion of project 0 279.000,000 $0 $0 $0 $0 $0 $6,000,000 $0 <br /> SECTION 5 WASTE CONVERTED AND OTHER BENEFITS PROMISED BY THE TAXPAYER <br /> Estimated solid waste converted(pounds) 0 Estimated hazardous waste converted (pounds) 0 <br /> Other benefits: <br /> VNAH would invest in an anaerobic digestion(biogas)plant with the goal of producing RNG to be injected into the NIPSCO grid.The investment will also cover additional equipment and processes <br /> necessary to produce value-added by-products,such as liquid fertilizers.VNAH would also invest in its workforce,creating hundreds of additional jobs for the locale and assuring that 15%of the workforce is <br /> comprised of apprentices. <br /> SECTION 6 TAXPAYER CERTIFICATION <br /> I hereby certify that the representations in thisstatement are true. <br /> Signature of authorized representative "LT 444i2111.10' Date signed(month,day,year) <br /> 5/1/2023 <br /> Printed name of authorized representative Title <br /> Greg Northrup President & CEO <br /> Page 1 of 2 <br />