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..�R.,e� STATEMENT OF BENEFITS 20 26 PAY 20 27 <br /> t :�o. REAL ESTATE IMPROVEMENTS FORM SB-1 /Real Property <br /> State Form 51767(R8/5-25) <br /> 1 Prescribed by the Department of Local Government Finance PRIVACY NOTICE <br /> Any information concerning the cost <br /> This statement is being completed for real property that qualifies under the following Indiana Code(check one box): of the property and specific salaries <br /> Redevelopment or rehabilitation of real estate improvements(IC 6-1 1 12.1-4) paid to individual employees by the <br /> Residentially distressed area(IC 6-1 1-12.1-4.1) property owner is confidential per <br /> IC 6-1 I-12 1-1 I <br /> New agricultural improvement(IC 6-1 1-12.1-4) <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 the initiation of the redevelopment or rehabilitation of real property or a new agricultural improvement for <br /> which the person wishes to claim a deduction. <br /> 2. 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 made <br /> or not later than thirty(30)days after the assessment notice is mailed to the property owner if it was mailed after April 10.A property owner who failed to <br /> file a deduction application within the prescribed deadline may file an application between January 1 and May 10 of a subsequent year <br /> 3. 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- <br /> 1/Real Property should be attached to the Form 322/RE when the deduction is first claimed and then updated annually for each year the deduction <br /> is applicable IC 6-1 1-12.1-5 1(b) <br /> 4 For a Form S8-1/Reat Property that is approved after June 30,2013.the designating body is required to establish an abatement schedule for each <br /> deduction allowed. <br /> SECTION 1 TAXPAYER INFORMATION <br /> Name of Taxpayer <br /> GLC MID-BAY, LLC <br /> Address of Taxpayer(number and street,city,state,and ZIP code) <br /> 7410 Aspect Drive, Suite 100 <br /> Name of Contact Person Telephone Number Email Address <br /> Ethan Fowler (574 ) 334-6659 efowler@greatIakescapital.corn <br /> SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT <br /> Name of Designating Body Resolution Number <br /> South Bend Common Council <br /> Location of Property County DLGF Taxing District Number <br /> 71-03-17-100-002.000-009(V/L Chet Waggoner Ct,South Bend, IN 46628) St. Josepth 009 (South Bend-German) <br /> f)escnption of Real r ruperty Improvements,Redevelopment or Rehabilitation(use s*I honal sheets,if necevsaryl Estimated Start Date(month,day.year) <br /> Construction of a new speculative industrial/warehouse building of October 30, 2026 <br /> (mcrith,day, <br /> approx.132,620 SF, serving 1 or more businesses depending on tenancy Er'atdC°" or Date <br /> year) <br /> February 1, 2028 <br /> SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES FROM PROPOSED PROJECT <br /> ..unent Nurnbrs Salaries Numhr i Retainer) Salaries Number Additional Salaries <br /> 0 $0 0 $0 15 $750,000 <br /> SECTION 4 ESTIMATED TOTAL COST AND VALUE OF PROPOSED PROJECT <br /> REAL ESTATE IMPROVEMENTS <br /> COST ASSESSED VALUE <br /> Current Values 0 0 <br /> (+)Plus Estimated Values of Proposed Protect 3,800.000 8,800,000 <br /> (—)Less Values of Any Property Being Replaced 0 0 <br /> Net Estimated Values Upon Completion of Protect I 8.800,000 8,800,000 <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 /> SECTION 6 TAXPAYER CERTIFICATION <br /> I hereby certify that the representations in this schedule are true <br /> Signature of Aut zer 4>t€pi NS4Atfve ')ate Signed(month,day,year) <br /> 1 j f Swi t.. August 3. 2026 <br /> Ptril d Name of Abr�ai�x}Representaiive trite <br /> Jeff Smoke i Manager <br /> Page I of 2 <br />