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or to be owned by the following individuals or corporations (if the business organization <br />is publicly held, indicate also the name of the corporate parent, if any, and the name under <br />which the corporation has filed with the Securities and Exchange Commission): <br />iYAME ADDRESS !NI'EREST(%) <br />qIC Ventures 8080 N Central Expressway, Suite 1220 Dallas, TX 75206 <br />(b) The following other person(s) lease, intend to lease, or have an option to buy the Property <br />(include corporate information as required in 5(a) above, if applicable); <br />NAME ADDRESS QVT'EREST(%) <br />Fortis Plastics, LLC 2965 LaVanture Place, Elkhart, IN 46514 <br />fi. The commonly known address of the Property is: <br />3611-3615 Voorde Drive South Bend Indiana <br />7. The Key Number(s) of said property is: <br />71-03-33-401-006.000-026 <br />8. A legal description of the above address is attached hereto, marked "Exhibit <br />A," and incorporated herein. <br />9. A map and/or plat describing the Property is attached hereto, marked "Exhibit <br />B," and incorporated herein. <br />10. Photographs of the property, taken within two (2) weeks of filing of this petition, <br />are attached hereto, marked "Exhibit C," and incorporated herein. <br />~, b <br />11. The redevelopment or rehabilitation project itself will create full-time and <br />o part-time permanent jobs within the first year, representing a new <br />annual payroll of $ ~~~'~°~~~~ - _ and will maintain ~z~ existing permanent <br />full-time and ~ existing permanent part-time jobs including existing <br />permanent full-time minority employment of z,r and existing permanent part- <br />time minority employment of ~_ _ with an annual payroll of $ <br />~~4'7,5~~(rb <br />12. The projected annual salaries for each new position indicated above are <br />estimated to be as follows (If more space is needed, please attach a separate <br />sheet): <br />(Rev Si11~031 2 <br />