07-13-15 Agenda, Packet & Committee Meeting Notice

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STATEMENT OF BENEFITS REAL ESTATE IMPROVEMENTS State Form 51767 (R6110 -14) Prescribed by the Department of Local Govemment Finance This statement is being completed for real property that qualifies under the following Indiana Code (check one box): ❑ Redevelopment or rehabilitation of real estate improvements (IC 6- 1.1- 12.1 -4) ❑ Residentially distressed area (IC 6- 1.1- 12.1.4.1) 2016 PAY 2o_1 7 FORM SB -1 I Real Property PRIVACY NOTICE Any Information concerning the cost of the propertyy and specific salaries paid to individual employees by the Property owner is confidential per INSTRUCTIONS: IC 6- 1.1- 12.1 -5.1. 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 the redevelopment or rehabilitation of real property for which the person wishes to claim a deduction. 2. The statement of benefits form must be submitted to the designating body and the area designated an economic revitalization area before the initiation of the redevelopment or rehabilitation for which the person desires to claim a deduction. 3. To obtain a deduction, a Form 3221RE must be filed with the County Auditor before May 10 in the year in which the addition to assessed valuation is made or not later than thirty (30) days after the assessment notice Is mailed to the property owner if it was mailed afterApdi 10. A property owner who failed to file a deduction application within the prescribed deadline may file an application between March 1 and May 10 of a subsequent year 4. A property owner who files for the deduction must provide the County Auditor and designating body with a Form CF -1 1Real Property. The Form CF -1 /Real Property should be attached to the Form 3221RE when the deduction is first claimed and then updated annually for each year the deduction is applicable. IC 6 -1.1- 12.1- 5.1(b) 5. For a Form SB -1 1Real Property that is approved after June 30, 2013, the designating body is required to establish an abatement schedule for each deduction allowed. For a Form SB -1 /Real Property 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 SECTION O Name of taxpayer GLC PORTAGE PRAIRIE, LLC Address of taxpayer (nurnberand street, city, state, and Zie code) 112 West Jefferson Blvd., Suite 200; South Bend, Indiana 46601 Name of contact person Telephone number E -mall address Ryan C. Rains 1( 574 ) 251 -4400 rrans @greatlakescapital.com SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT Name of designating body esolution number Common Council of the City of South Bend Location of property County lazing district number SE Corner (Adams Road & Dylan Drive) St. Joseph [DLGF 1 -009 Description of real property Improvements, redevelopment, or rehabilitation (use additional sheets it necessary) stimated stad date (month, day, year) Construction of approximately 200,000 square foot (expandable to 400,000 square feet) spec commerciallbulk ept, 2015 distribution facility in South Bend, Indana Estimated completion data (month, day. year) Dec., 2016 SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PROPOSED PROJECT numoer Less values of Of Estimated solid waste converted (pounds) I hereby 1 1X Estimated COST trier additional Salaries 15-20 01 • M5 BEND, IN in this statement are true. 2,105 Printed name or aulbWepresentative Title Ryan C. Rans I Manaqinq Member Page 1 of 2