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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 />NAME ADDRESS INTEREST (%) <br />Ranjan J. Amin 6097]. U.S. 31 South 100% <br />South Bend, IN 46614 <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 i~~(%) <br />N/A <br />6. The commonly known address of the Property is: <br />6097]. U.S. 31 South <br />South Bend, IN 46614 <br />7. The Key Number(s) of said property is: <br />23-].0].7-0368 <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 />11. The redevelopment or rehabilitation project itself will create ~p_ full-time and <br />`~_ part-time permanent jobs within the first year, representing a new <br />annual payroll of $~n ,nnn_nn and will maintain ~_~cis~~permanent 2 <br />full-time and o existing permanent part-time jobs including existing <br />permanent full-time minority employment of N/A and existing permanent part- <br />time minority employment of o with an annual payroll of $ <br />N/A <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): $1.2, 000.00 to $30, 000.00 <br />(Rev 8/11/03) 2 <br />