03-10-14 Council Agenda & Packet

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DocuSign Envelope ID: DBF1C 726- DE7142B2- AE01- AD6D78F646AD 30. Has your business been granted previous tax abatement(s)? If yes, please provide type (real and/or personal property), term and date of approval. (Please attach additional sheet(s) if more space is needed) ABATEMENT TYPE . TERM DATE OF APPROVAL 31. Other anticipated public financing for the project including, if any, industrial revenue. bonding to be sought or already authorized, assistance through the United States Department of Housing and Urban Development funds from the City of South Bend, Small Business Administration Sections 503 and 504 financing through the Business Development Corporation of South Bend, Mishawaka, and St. Joseph County, Indiana, Industrial Revolving Fund; or other public financial assistance, including but not limited to public works improvements. Yes. City of South Bend 32. The following person(s) should be contacted as Petitioner's primary agent(s) regarding additional information and public hearing notifications and the following individual(s) may participate at the committee and full council meetings of the South Bend Common Council: Name: Ryan Rans Brad Toothaker Address: 112 W. Jefferson Blvd. 112 W. Jefferson Blvd City, State, Zip: South Bend, IN 46601 South Bend, IN 46601 Telephone: 574- 251 -4400 574- 251 -4400 E -mail address: rransegreatlakescapital. com btoothaker reatlakesc 33. If this real property tax abatement is for warehouse or industrial developments, pursuant to South Bend Municipal Code Sec. 2.83.2, please indicate the name, address, telephone number and e-mail address of the person who will work with WorkOne Northern Indiana (WNI) or its successor agency for employee recruitment, and sign the required WNI form attached to the petition. Name: N/A Address. City, State, Zip: Telephone: E-mail Address: (Rev 5/13/11)