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Filed in Clerk's Office <br /> /! ,"' 4, STATEMENT OF BENEFITS 2023 PAY 2024 <br /> + • '\ REAL ESTATE IMPROVEMENTS JUN 2 0 2023 <br /> State Form 51767(R7 I 1-21) FORM SB-1!Real Property <br /> d Prescribed by the Department of Local Government Finan DAWN M.JONES <br /> CITY(;L (i �I I t,� PRIVACY NOTICE _ <br /> This statement is being completed for real property that qualifies under! tuttvw.,,yirxAana.Lo e.tcfi (. by .,IN Any information concerning the cost <br /> 0 Redevelopment or rehabilitation of real estate improvements(IC 6-1.1-12.1-4) paid of he property and specific salaries <br /> he <br /> Q Residentially distressed area(IC 6-1.1-12.14.1) properly owner Is ccoonffidengal by <br /> INSTRUCTIONS: <br /> C 1i 12.I.5.1. <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 en 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 N was mailed after April 10. A property owner who <br /> faded to file a deduction application within the prescribed deadline may file an application between January 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 /> KCG Companies, LLC <br /> Address or taxpayer <br /> Number d:ave: 9311 N. Meridian St, Ste. 100 c,, Indianapolis Stat: IN ZIP: 46260 <br /> Name of contact person Telephone number E-mail address <br /> First Name:Todd Last Name: Jensen (317)688-1729 toad ionsan@kcgcompueios.com <br /> SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT <br /> Name of dasional ng body <br /> Common Council of the City of South Bend Resolution number <br /> Location of property I County DLGF taxing district number <br /> Number and Street: 1202 S Lafayette Blvd. city.South Bend stater IN 21Pi 46624 St. Joseph 026(South Bend-Portage) <br /> Description of real property irnprovemenis,redevelopment,or rehabilitation(use additional sheets if necessary) Estimated start date(month,day,year) <br /> KCG Development is proposing a 50-unit, multifamily affordable housing 5/1/2024 <br /> development consisting of 30 one-bedroom &20 two-bedroom units. Estimated completion dale(month,day year) <br /> 8/1/2025 <br /> SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PROPOSED PROJECT <br /> Current Number Salanus$ O Number Retained O Salanes $ 0 Number Addillonal 1 Salaries$ 40,000 <br /> SECTION 4 ESTIMATED TOTAL COST AND VALUE OF PROPOSED PROJECT <br /> REAL ESTATE IMPROVEMENTS <br /> COST ASSESSED VALUE <br /> Current values $o <br /> Plus estimated values of proposed project s 12,323,616 5 472,617 <br /> Less values of any property being replaced g o $6 <br /> Net estimated values upon Corrtpietion of project s 12,323,616 $472,617 <br /> SECTION 5 WASTE CONVERTED AND OTHER BENEFITS PROMISED BY THE TAXPAYER <br /> Estimated solid waste converted(pounds) Estimated hazardous waste converted(pounds) 0 <br /> Other benefits <br /> SECTION 6 TAXPAYER CERTIFICATION <br /> I hereby certify that the representations in this statement are true. <br /> Signature of authorized representative ° p, Dale signed(month,day,year) <br /> j �/---�' 6/20/2023 <br /> Printed name of authorized representative ✓ Title <br /> Todd Jensen Vice President of Development-Midwest <br /> Page 1 of 2 <br />