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r,`-'~ <br />~s° ~: STATEMENT OF BENEFITS <br />x~ - PERSONAL PROPERTY <br />~. State Form 51764 tR / 1-06) <br />~' ~e `" Prescribed by the Department of Local Government Finance <br />---- FOR4it SB-1 i P~ <br />PRIVACY NOTICE <br />The test and any specific individual's <br />salary information is confidential: the <br />balance of the filing is public record <br />per IC 6-1.1-12.1-5.1 (c) and (d). <br />INSTRUCTIONS: <br />1. This statement must be submitted to the body designating the Economic Revitalization Area prior to the public hearing i( the designating body requires <br />information from the applicant in making its decision about whether to designate an Economic Revtalization Area. Otherwise this statement must be submitted <br />to the designating body BEFORE a person installs the new manufacturing equipment and/or research and development equipment, and/or logistical distribution <br />equipment andlor information technology equipment for which the person wishes to claim a deduction. "Projects" planned or committed to after July 1, .1987, <br />and areas designated after July 1, 1987, require a STATEMENT OF BENEFITS. (IC 6-1.1-12.1) <br />2. Approval of the designating body (City Council, Town Board, County Council, etc.) must be obtained prior to installation of the new manufacturing equipment <br />and/or research and development equipment and/or logistical distrbution equipment and/or information technology equipment, BEFORE a deduction may <br />be approved. <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 (Form 103- <br />ERA) with the township assessor o/the township where the property is situated. The 103-ERA must be fried between March 1 and May 15 of the assessment <br />year in which new manufacturing equipment and/or research and development equipment and/or logistical distribution equipment andlor information technology <br />equipment is installed and fully functional, unless a filing extension has been obtained. A person who obtains a filing extension must (le the form between <br />March 1 and the extended due date of that year. <br />4. Property owners whose Statement of Benefits was approved after June 30, 1991, must submit Form CF-1 / PP annually to show compliance with the Statement <br />of8enefits. (IC6-1.1-i2.1-5.6) <br />5. The schedules established under IC 6-1. i-12.1-4.5 (d) and (e) apply to equipment installed after fr.29 equipment installed prior to March 2, <br />2001, the schedules and statutes in effect at the time shall continue to app ,t`` ter. ~ `li~)>,1.1~ <br />~nuntlA tl4iCS' <br />' .~~-- . <br />Name of taxpayer <br />^ <br />; <br />Stanz Foodservice, Inc. `' - <br />Address of taxpayer (number and street, city, state and ZIP code) <br />South Bend, Indiana 46628 y ~ .-.•;~ s;~ ~~ ~° i <br />Commerce Drive <br />,n yc E <br />1840 N <br />, <br />,~ <br />. <br />.,r F: <br />Name of contact person ^'- •-- -° phone number <br />Mark Harman, President (574) 235-8524 <br /> <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 />1840 N. Commerce Drive, South Bend, Indiana- St. Joseph 018 <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 <br />Proposed investment in new logistical distribution equipment and information <br />technology equipment including, without limitation, warehouse racking systems, R & D Equipment <br />fork lifts, pallet movement mechanisms, GPS monitoring and tracking systems and June, 2008 May, 2010 <br />related systems. Logist Dist Equipment <br />June, 2008 May, 2010 <br />IT Equipment <br /> <br />Current number Salaries Number retained Salaries Number additional Salaries <br />171 -$7,250,000 171 -$7,250,000 N/A N/A <br />• <br />MANUFACTURING R S D EQUIPMENT LOGIST DIST IT EQUIPMENT <br />NOTE: Pursuant to IC 6-1.1-12.1-5.1(d)(2)the EQUIPMENT EQUIPMENT <br />COST of the property is confidential. Assessed Assessed Assessed Assessed <br />Cost <br />Cost <br />Cost <br />Value <br />Value <br />Cost Value <br />Value <br />Current values N/A N/A N/A N/A <br />Plus estimated values of proposed project -300-700K Reg. 16 -50-150K Reg 16 <br />Less values of any property being rep{aced NIA NIA NIA N/A <br />Net-estimated values upon completion of project -300-700K Reg. 16 -50-150K Reg 16 <br />~ • ~ ~ • -• ~ <br />Estimated solid waste converted (pounds) Estimated hazardous waste converted (pounds) <br />Other Benefits: <br />• ~ <br />I hereb ceRi that the representations in this statement are true. <br />S' nat of auth ized re resentative Title Date signed (month, day, year) <br />~~~~~~ Mark Harman, President May 21, 2008 <br />