Bill 16-20 Tax Abatement for Cohn & Cohn Investments LLC

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STATEMENT OF BENEFITS REAL ESTATE IMPROVEMENTS ' State Form 51767 (R6 / 10 -14) Prescribed by the Department of Local Government Finance 206 PAY 20 1_7 FORM SB -9 / Real Property PRIVACY NOTICE This statement is being completed for real property that qualifies under the following Indiana Code (check one box): Any information concerning the cost [a Redevelopment or rehabilitation of real estate improvements (IC 6 -1.1- 12.1 -4) of the prop paid to inndividudiviry and specific salaries al employees by the Q Residentially distressed area (IC 6 -1.1- 12.1 -4.1) property owner is confidential per IC 6-1.1- 12.1 -3.1.. INSTRUCTIONS: 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 benfi ets 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 thnty (30) days after the assessment notice is mailed to the property owner if it was mailed afterApril 10. A property owner who failed to file a deduction application within the prescribed dead line may Me 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- 17Real Property. The Form CF- 1lReal 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. 1C 6- 1.1- 12.1- 5.1(b) 5, For a Form SB- 1lReal 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- 1lReal 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 OR • SECTION Name of taxpayer COHN' & COHN INVESTMENTS, LLC Address of taxpayer (number and street, city, state, and ZIP code) 912 Lady Street, Suite 200, Columbia SC 29201 Name of contact person Telephone number E -mail address Richard H. Cohn, Sr. 1( 803) 699 - 1325x102 richardcohn ®cohneonstrucionllc.com SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT Name of designating body Resolution number Common Council of City of South Bend Location of property County DLGF taxing district number Vacant Land - Lot 6 in Blackthorn Corporate Office Park St. Joseph SB- German Description of real property improvements, redevelopment, or rehabilitation (use additional sheets if necessary) Estimated start date (month, day, year) Investment of - $9,600,000 in the construction of an approximate 13,000- 20,000 square foot commercial distribution March 1, 2016 and office facility in the Blackthorn Corporate Park in South Bend. The facility is intended to initially serve and Estimated completion date (month, day, year) support the expanding operations of UniFirstIn South Bend. I March 1, 2018 SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PROPOSED PROJECT Current number Salaries Number retained Salaries Number additional Salaries 23 1 $923,880 23 1 $923,880 1 5 $180,000+ SECTION 4 ESTIMATED TOTAL COSTAND VALUE OF PROPOSED PROJECT REAL ESTATE IMPROVEMENTS COST ASSESSED VALUE Current Values 68,000.00 6,300.00 Plus estimated values of proposed project 1,600,000.00 Reg 117 Less values of any property being replaced 0.00 0.00 Net estimated values u on completion of project. 1.666,000.00. Reg. 17 SECTION 5 WASTE CONVERTED AND OTHER BENEFITS PROMISED BY THE TAXPAYER Estimated solid waste converted (pounds) Estimated hazardous waste converted (pounds) Other benefits 1. The employment projections above are those of UniFirst, the intended occupant of the new facility. SECTION • I hereb tti at resentations in this statement are true. Signatur presentative Date signed (month, day, year) February 2016 Printed name of authorized representative Title Richard H. Cohn, Sr. Chairman Page 1 of 2