07-22-13 Council Agenda & Packet

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o"_1 STATEMENT OF BENEFITS PERSONAL PROPERTY State Form 51764 (R 11-06) Prescribed by the Department of Local Government INSTRUCTIONS: "'Hed in tern.} (rfr+��:.. nce F_ UTY Ot.C:RK, ;30-W trf BEND, IN � FORM S13-1 / PP� PRIVACY NOTICE The cost and any specific individual's salary information is confidential; the balance of the filing is public record per IC 6 -1.1- 12.1 -5.1 (c) and (d). 1. This statement must be submitted to the body designating the Economic Revitalization Area prior to the public hearing if the designating body requires information from the applicant in making its decision about whether to designate an Economic Revitalization Area. Otherwise this statement must be submitted to the designating body BEFORE a person installs the new manufacturing equipment and /or research and development equipment, and /or logistical distribution equipment and /or information technology equipment for which the person wishes to claim a deduction. "Projects" planned or committed to after July 1, 1987, and areas designated after July 1, 1987, require a STATEMENT OF BENEFITS. (1C 6 -1.1 -12.1) 2. Approval of the designating body (City Council, Town Board, County Council, etc.) must be obtained prior to installation of the new manufacturing equipment and /or research and development equipment and /or logistical distribution equipment and /or information technology equipment, BEFORE a deduction may be approved 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 -ERA) with the township assessor of the township where the property is situated. The 103 -ERA must be filed between March 1 and May 15 of the assessment year in which new manufacturing equipment and /or research and development equipment and /or logistical distribution equipment and /or information technology equipment is installed and fully functional, unless a filing extension has been obtained. A person who obtains a filing extension must file the form between March 1 and the extended due date of that year. 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 of Benefits. (IC 6-1.1-12.1-5.6) 5. The schedules established under /C 6 -1.1- 12.1- 4.5(d) and (e) apply to equipment installed after March 1, 2001. For equipment installed prior to March 2, 2001, the schedules and statutes in effect at the time shall continue to apply. (IC 6 -1.1- 12.1 -4.5(o and (g)) Name of taxpayer Crooked Ewe. Inc Address of taxpayer (number and street, city. state, and ZIP Code) 1047 Lincoln Way East, South Bend, Indiana 46601 Name of contact person Telephone number 574- 210 -6809 Sean H Meehan SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT Name of designating body Resolution number (s) South Bend Common Council n/a Location of property County DLGF taxing district number 1047 Lincoln Way East, South Bend, IN 46601 St Jose h 026 Description of manufacturing equipment and /or research and development equipment and /or logistical distribution equipment and /or information technology equipment. ESTIMATED (use additional sheets if necessary) START DATE COMPLETION DATE Manufacturing Equipment August 1, 2013 October 1, 201 Large stainless steel brew kettles, fermentation tanks, and conditioning tanks will be the primary value of the investment. Other costs include R 8 D Equipment solar panels for water heating, fittings, high heat transfer hoses, and n/a n/a high heat stainless steel pumps. Minimal IT equipment will be Logist Dist Equipment n/a n/a IT Equipment August 1, 2013 October 1, 2013 urchased for brewin operations and invento controls stems. Current number Salaries Number retained Salaries Number additional Salaries 0 $0 0 $0 nineteen (19) $485,320.00 4-211111LI 9:1 all Eel NOTE: Pursuant to IC 6 -1.1- 12.1 -5.1 (d) (2) the MANUFACTURING EQUIPMENT R $ D EQUIPMENT LOGIST DIST IT EQUIPMENT EQUIPMENT COST of the property is confidential. COST ASSESSED COST ASSESSED COST ASSESSED COST ASSESSED VALUE VALUE VALUE VALUE Current values $112,037 $112,037 $0 $0 $0 $0 $2000 $2000 Plus estimated values of proposed project $0 $0 $0 $0 $0 $0 $0 $0 Less values of any property being replaced $0 $0 $0 $0 $0 $0 $0 $0 Net estimated values upon completion of project $112 037 $112 037 0 0 $0 $0 $2000 $2000 • • • . • -• Estimated solid waste converted (pounds) 0 pounds Estimated hazardous waste converted (pounds) 0 pounds Other benefits: waste relative to the brewing process will be in the form of spent grain which can be donated to area farmers and unused water will be collected in the waste water system on premise. SECTION • hereby certify that the representations in this statement are true. S entative Title Date signed (month, day, year) OwnerNice President July 3, 2013