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City of South Bend <br />�eee I <br />o49OD <br />Petition for Incentives <br />Petitlon.,must include a $150f fee payable to the 6rry,Clerk's Office or online via the City's website of <br />- <br />http:// sduthbendin. gqy/ goyemmerit/ fpntent/ tox- abotemenY before :processing can be complete <br />Legal name as registered with Secretary of . Kruk Electric LLC <br />State <br />Business structure -! <br />DBA Advance Wire Form <br />Company website <br />Proposed Project Information <br />krukelectric @comcast.net <br />Proposed project address l� <br />Parent company name <br />3702 W. Sample Kruk Electric LLC <br />City, state, Zip <br />South Bend, IN 46619 <br />Legal owner" Kruk Electric LLC <br />Site acreage or acreage required <br />Is the real estate owned or 75t Source Bank <br />Square feet of facility '.. <br />Primary Contact Information <br />10,000+ <br />If leased by whom 1st Source Bank <br />Primary company contact name <br />Daniel Kruk <br />Title Member <br />Address of company contact <br />3702 W. Sample <br />Phone <br />City, State, Zip South Bend, IN 46619 <br />Email <br />'Senior Official Information <br />Company senior official name Daniel Kruk <br />Title <br />Member <br />Address of company contact (if different from <br />Phone <br />City, State, Zip <br />Email <br />,Consultant Information/Agent <br />Hired business consultant /agent name : -777 <br />Consultant release <br />WN) <br />Address <br />Local economic development partners <br />approval N <br />City, state, Zip, - <br />Email <br />Project Overview <br />Brief description of your <br />Advance Wire Form is a DBA Kruk Electric LLC. Advance Wire Form manufactures springs and wire forms for the of <br />company, project, and why the <br />W <br />medical and brake industries. We have experienced steady growth in recent years, and need to expand our production <br />property is necessary for <br />capabilities. Our project includes leasing more space from the business complex, purch",* wire formers <br />economicgrowth <br />machines. Our growth will result in increased sales and employment. - <br />Filed —Wear—"— <br />MAY <br />CITY Old NN ill <br />M 30M <br />BEN <br />Certified Technology Park appropriate <br />NIA <br />Community Revitalization Enhancement <br />IlDistrict <br />^, /A <br />Certify that the Building Permit has not been <br />No <br />rfumberof residential units created <br />If this is a petition for personal property tax abatement, has <br />I <br />thee ui ment installed. <br />No <br />sae <br />,IN <br />