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STATEMENT OF BENEFITS
<br />FORM SB -1 I PP
<br />PERSONAL PROPPERTY RTY
<br />Stale Form 51764 (112 / 12 -11)
<br />Prescribed by the Department of Local Government Finance PRIVACY NOTICE
<br />The cost and any specific individual's
<br />=ofis confidential: the
<br />balance of the filing is tc record
<br />er IC 6d.1- 12.III i jc) and d
<br />INSTRUCTIONS. )
<br />t, This statement Must be submitted to the body designating the Economic Revitalizafon'Ares prior to the public hearing if the designating body requires
<br />infounation from tha applicant in making its decision about whethertc designate an Economic Revitalization Area. Otherwise this statement must be submitted
<br />to the designating body BEFORE a person installs the new manufacturing equipment and /or research and development equipment. and/orlogistical distribution
<br />equipment and/or, information techno logy equipment for which the person wishes to claim a deduction. Pr %cts "planned or committed to after July 1. 1967.
<br />and areas designated after July 1, 1967, require a STATEMENT OF BENEFITS. (IC 6.1.1 -121)
<br />2. Approval of the designating body (City Council, Town Board, County Council, etc.) must be obtained priorto installation of the new manufacturing equipment
<br />and/or research and development equipment and /orlogistical distribution equipment and /or information technology equipment, BEFORE a deduction may
<br />be approved
<br />3. To obtain a deduction, a person must file a cedifled deduction schedule with the person's personal properly return on a cert/fied deduction schedule (Form
<br />103 -ERA) with the township assessor of the township where the property is situated or with the county assessor if there is no township assessor for the
<br />township. The 103 -ERA must be fled between March 1 and May 15 of the assessment year in which new manufacturing equipment and /or research and
<br />development equipment and /or logistical distribution equipment and /or Information technology equipment Is Installed and hilly functional, unless a filing
<br />extension has been obtained. A person who obtains a filing extension must Ale the form between March 1 and the extended due date of that year
<br />4. Property owners whose Statement of Benefits was approved after June 30, 1991, must submit Form CF -1 / PP annually to show compliance with the
<br />Statement of Benefits_ (IC 6- 1.1- 12.1 -5.6)
<br />5. The schedules established under 1C 6- 1.1- 12.1- 4.5(d) and (a) apply to equipment installed after March 1, 2001, unless an alternative deduction schedule is
<br />adopted by the designating body (IC 6- 1.1.12.1 -17).
<br />Name of taxpayer
<br />Federal Mogul Powertrain, LLC
<br />Address of taxpayer (numberand street city slate, and ZIP codal
<br />3605 W. Cleveland Rd., South Bend, IN 46628
<br />i
<br />Name of contact person Telephone number
<br />William Maki, Plant Controller
<br />(574)271 -5910
<br />Name of designating body Resokn:on number is
<br />City of South Bend Common Council
<br />Location or property County OLGF taxing district number
<br />3605 W. Cleveland Rd., South Bend, IN 46628 SL Jose h 71008 - German Twp.
<br />Description of manufacturing equipment and /or research and development equipment ESTIMATED
<br />and /or logistical distribution equipment and /or information technology equipment.
<br />(use additional sheets if necessary) START DATE COMPLETION DATE
<br />1) Manufacturing Equipment- Chrysler GMET4 Line Manufacturing Equipment March, 2016 August, 2017
<br />2) Manufacturing Equipment - General Motors Uplift Line R & D Equipment 1
<br />I
<br />Logist Dist Equipment
<br />3) Manufacturing Equipment - GM Duramax Assembly Machine
<br />iT Equipment
<br />Current number Salaries Number retained Salaries Number additional Salaries
<br />544 36,485,146 544 36,485,146 0 0
<br />MANUFACTURING LOGIST DIST
<br />NOTE: Pursuant to IC 6 -1.1- 12.1 -5.1 (d) (2) the EQUIPMENT R 8 D EQUIPMENT EQUIPMENT IT EQUIPMENT
<br />COST of the property is confidential. COST ASSESSED COST ASWSSED COST ASSESS VALUE
<br />ES COST ASSESSED
<br />VALUE i
<br />Current Values 117,828,028 31,925,970
<br />Plus estimated values of proposed project 11,315,200 3,394,560
<br />Less values orany property being replaced o o
<br />Net estimated values upon completion of project 129,943,726 35,320,430 I
<br />111111111441011114 . Estimated solid waste converted (pounds) WA
<br />lP ) Estimated hazardous waste convert (poun )NIA
<br />Other Matti:
<br />In adS1ton i�o 544 high paying manufacturing jobs being retained by these projects from this new business, If rded t the Fjil r� fad,
<br />continual investment by Federal -Mogul in its South Bend facility insures it will remain competitive not only nag naly, b more 1 �y►�p i
<br />Internationally, and thus ensures its long -term viability to remain a reliable, high - paying employer in the St. Jo ph Co the C' of South Be d.
<br />SECTION • r
<br />I Weby certify that the representations in thW statement are true. r ��
<br />i(gnalure of authoriz p esentative 'Rile Date signed (month, day, year)
<br />Plant Controller j
<br />March 14, 2016 ,
<br />Wt li Maki, CPA, Plant Controller `
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