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FJ-7:-. STATEMENT OF BENEFITS FORM SB-1 /PP <br /> ;;%4'' z1 PERSONAL PROPERTY <br /> c', '.!)t State Form 51764(R5/1-21) PRIVACY NOTICE <br /> ``,,;--.'' Prescribed by the Department of Local Government Finance 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 them 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 /> Fora 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 /> Imagineering Enterprises, Inc. First.amc: Lauren t.astName: Eby <br /> Address of taxpayer Telephone number Email <br /> Number and Street: 3722 Foundation Court c,,: South Bend State IN zip_46628 leby@iftww,com <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 I County DLGF taxing district number <br /> Number arid srr«c 1302 W Sample Street u;ry:South Bend Slate.IN zip.46619 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 /> Our investment in equipment will consist of tanks for Manufacturing Equipment 11/15/2023 12/29/2023 <br /> processing, hoists, ventilation, plumbing upgrades, boiler, R&D Equipment <br /> ect. Logist Dist Equipment <br /> IT Equipment <br /> SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PROPOSED PROJECT <br /> Current Number Salaries Number Retained Salaries Number Additional Salaries <br /> 45 $2,018,494 45 $ 201,844 10 $427,600 <br /> SECTION 4 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&O EQUIPMENT LOGIST DIST IT EQUIPMENT <br /> EQUIPMENT EQUIPMENT <br /> COST of the property is confidential. COST ASSESSED COST ASSESSED COST ASSESSED COST ASSESSED <br /> VALUE VALUE VALUE VALUE <br /> Current values <br /> Plus estimated values of proposed project S 2,631,500 $2,631,500 <br /> Less values of any property being replaced <br /> Net estimated values upon completion of project $2,631,500 $2,631,500 $0 $0 $0 $0 $0 $0 <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 authonzed representative Date signed(month,day,year) <br /> 1-41,1 tQ,sr- 8/28/2023 <br /> Printed name of authorized reailesentative Pie <br /> Lauren Eby Controller <br /> Page 1 of 2 <br />