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;r'± STATEMENT OF BENEFITS FORM SB-1 /PP <br /> eiic, PERSONAL PROPERTY <br /> f State Form 51784(R5/1-21) PRIVACY NOTICE <br /> ;y„ PrescribedDepartment <br /> by the 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 poor 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 /> GTA Containers, LLC First Name Last Name <br /> Address of taxpayer Number and Street City Stan ZIP Telephone number Email <br /> 445 N. Sheridan Street South Bend IN 46619 <br /> SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT <br /> Name of designating body Resolution number(a) <br /> Common Council of the City of South Bend 510-1-1S <br /> Location of property Number and Street (:m Mate ZIP County DLGF taxing district number <br /> 445 N Sheridan Street South Bend IN 46619 St. Joseph - <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 /> GTA will purchase be purchasing racking equipment for raw material storage and Manufacturing Equipment 4/15/2025 3/18/2026 <br /> large cranes for moving fabric roll stock. Additional welding stations will be R 8 D Equipment <br /> purchased and installed to handle additional volume. New data switches and <br /> wireless access equipment will need to be installed. A fabric paint line will also be Logist Dist Equipment 4/15/2025 3/18/2026 <br /> installed to in source the painting of camouflage patterns on fabric for covers <br /> production. IT Equipment 4/30/2025 3/18/2026 <br /> SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PROPOSED PROJECT <br /> Current Number Salaries Number Retained Salanes Number Additional Salaries <br /> 143 $9,271,204 143 $9,271,204 15 $1,040,312 <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 8 D EQUIPMENT LOGIST DIST IT EQUIPMENT <br /> EQUIPMENT EQUIPMENT <br /> COST of the property is confidential. ASSESSED ASSESSED ASSESSED ASSSESSED <br /> COST \/gLUE COST \ALUE COST VALUE COST V4LUE <br /> Current values S 0 <br /> Plus estimated values of proposed project S 2,300,000 <br /> Less values of any property being replaced S 0 <br /> Net estimated values upon completion of project S 2,300,000 S 0 SO S 0 S 0 S 0 $0 S 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 authorized representative Date signed(month,day,year) <br /> Printed name of authonzed representative I Title <br /> Page 1 of 2 <br />