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Public Act 095-0173
Public Act 0173 95TH GENERAL ASSEMBLY
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Public Act 095-0173
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| HB3487 Enrolled |
LRB095 10263 JAM 30478 b |
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| AN ACT concerning government.
| Be it enacted by the People of the State of Illinois,
| represented in the General Assembly:
| Section 5. The Illinois Governmental Ethics Act is amended | by changing Sections 4A-103 and 4A-104 as follows:
| (5 ILCS 420/4A-103) (from Ch. 127, par. 604A-103)
| Sec. 4A-103. The statement of economic interests required | by this Article to be filed
with the Secretary of State shall | be filled in by
typewriting or hand printing, shall be | verified, dated, and signed by the
person making the statement | and shall contain substantially the following:
| STATEMENT OF ECONOMIC INTEREST
| (TYPE OR HAND PRINT)
| .............................................................
| (name)
| .............................................................
| (each office or position of employment for which this
statement | is filed)
| .............................................................
| (full mailing address
post office address to which notification | of
an examination of this statement should be sent)
| GENERAL DIRECTIONS:
| The interest (if constructively controlled by the person |
| making the
statement) of a spouse or any other party, shall be | considered to be the
same as the interest of the person making | the statement.
| Campaign receipts shall not be included in this statement.
| If additional space is needed, please attach supplemental | listing.
| 1. List the name and instrument of ownership in any entity | doing
business in the State of Illinois, in which the ownership | interest held by
the person at the date of filing is in excess | of $5,000 fair market value
or from which dividends in excess | of $1,200 were derived during the
preceding calendar year. (In | the case of real estate, location thereof
shall be listed by | street address, or if none, then by legal description.)
No time | or demand deposit in a financial institution, nor any debt
| instrument need be listed.
|
|
Business Entity |
Instrument of Ownership |
|
| ............................... |
............................... |
|
| ............................... |
............................... |
|
| ............................... |
............................... |
|
| ............................... |
............................... |
|
2. List the name, address and type of practice of any | professional
organization in which the person making the | statement was an officer,
director, associate, partner or | proprietor or served in any advisory
capacity, from which | income in excess of $1,200 was derived during the
preceding | calendar year.
| |
| Name |
Address |
Type of Practice |
|
| .................... |
.................... |
..................... |
|
| .................... |
.................... |
..................... |
|
| .................... |
.................... |
..................... |
|
3. List the nature of professional services rendered (other | than to the
State of Illinois) to each entity from which income | exceeding $5,000 was
received for professional services | rendered during the preceding calendar
year by the person | making the statement.
| .............................................................
| .............................................................
| 4. List the identity (including the address or legal | description of real
estate) of any capital asset from which a | capital gain of $5,000 or more
was realized during the | preceding calendar year.
| .............................................................
| .............................................................
| 5. List the identity of any compensated lobbyist with whom | the person
making the statement maintains a close economic | association, including the
name of the lobbyist and specifying | the legislative matter or matters which
are the object of the | lobbying activity, and describing the general type of
economic | activity of the client or principal on whose behalf that person | is
lobbying.
|
|
Lobbyist |
Legislative Matter |
Client or Principal |
|
| .................... |
.................... |
..................... |
|
|
| | .................... |
.................... |
..................... |
|
6. List the name of any entity doing business in the State | of Illinois
from which income in excess of $1,200 was derived | during the preceding
calendar year other than for professional | services and the title or
description of any position held in | that entity. (In the case of real
estate, location thereof | shall be listed by street address, or if none,
then by legal | description). No time or demand deposit in a financial
| institution nor any debt instrument need be listed.
|
|
Entity |
Position Held |
|
| ............................... |
............................... |
|
| ............................... |
............................... |
|
| ............................... |
............................... |
|
7. List the name of any unit of government which employed | the person
making the statement during the preceding calendar | year other than the unit
or units
of government in relation to | which the person is required to file.
| .............................................................
| .............................................................
| 8. List the name of any entity from which a gift or gifts, | or honorarium
or honoraria, valued singly or in the aggregate | in excess of $500, was
received during the preceding calendar | year.
| .............................................................
| VERIFICATION:
| "I declare that this statement of economic interests |
| (including any
accompanying schedules and statements) has been | examined by me and to the
best of my knowledge and belief is a | true, correct and complete statement
of my economic interests | as required by the Illinois Governmental Ethics
Act. I | understand that the penalty for willfully filing a false or
| incomplete statement shall be a fine not to exceed $1,000 or | imprisonment
in a penal institution other than the penitentiary | not to exceed one year,
or both fine and imprisonment."
| ................ ..........................................
| (date of filing) (signature of person making the statement)
| (Source: P.A. 92-101, eff. 1-1-02.)
| (5 ILCS 420/4A-104) (from Ch. 127, par. 604A-104)
| Sec. 4A-104. The statement of economic interests required | by this Article to be filed
with the county clerk shall be | filled in by typewriting
or hand printing, shall be verified, | dated, and signed by the person
making the statement and shall | contain substantially the following:
| STATEMENT OF ECONOMIC INTERESTS
| (TYPE OR HAND PRINT)
| .............................................................
| (Name)
| .............................................................
| (each office or position of employment for which this
statement | is filed)
...................................................
| (full mailing address
post office address to which notification |
| of an
examination of this statement should be sent)
| GENERAL DIRECTIONS:
| The interest (if constructively controlled by the person | making the
statement) of a spouse or any other party, shall be | considered to be the
same as the interest of the person making | the statement.
| Campaign receipts shall not be included in this statement.
| If additional space is needed, please attach supplemental | listing.
| 1. List the name and instrument of ownership in any entity | doing
business with a unit of local government in relation to | which the
person
is required to file, in which the ownership | interest held by the person at
the date of filing is in excess | of $5,000 fair market value or from which
dividends in excess | of $1,200 were received during the preceding calendar
year. (In | the case of real estate, location thereof shall be listed by
| street address, or if none, then by legal description.) No time | or demand
deposit in a financial institution, nor any debt | instrument shall be
listed.
|
|
Business |
Instrument of |
Position of |
|
Entity |
Ownership |
Management |
|
| .................... |
.................... |
..................... |
|
| .................... |
.................... |
..................... |
|
| .................... |
.................... |
..................... |
|
2. List the name, address and type of practice of any | professional
organization in which the person making the |
| statement was an officer,
director, associate, partner or | proprietor, or served in any advisory
capacity, from which | income in excess of $1,200 was derived during the
preceding | calendar year.
|
|
Name |
Address |
Type of Practice |
|
| .................... |
.................... |
..................... |
|
| .................... |
.................... |
..................... |
|
| .................... |
.................... |
..................... |
|
3. List the nature of professional services rendered (other | than to the
unit or units of local government in relation to | which the person is
required to
file) to each entity from which | income exceeding $5,000 was received for
professional services | rendered during the preceding calendar year by the
person | making the statement.
| .............................................................
| .............................................................
| 4. List the identity (including the address or legal | description of real
estate) of any capital asset from which a | capital gain of $5,000 or more
was realized during the | preceding calendar year.
| .............................................................
| .............................................................
| .............................................................
| 5. List the name of any entity and the nature of the | governmental action
requested by any entity which has applied | to a unit of local
government
in relation to which the person |
| must file for any license, franchise or
permit for annexation, | zoning or rezoning of real estate during the
preceding calendar | year if the ownership interest of the person filing is
in | excess of $5,000 fair market value at the time of filing or if | income or
dividends in excess of $1200 were received by the | person filing from the
entity during the preceding calendar | year.
| .............................................................
| .............................................................
| .............................................................
| 6. List the name of any entity doing business with a unit | of
local
government in relation to which the person is required | to file from which
income in excess of $1,200 was derived | during the preceding calendar year
other than for professional | services and the title or description of any
position held in | that entity. No time or demand deposit in a financial
| institution nor any debt instrument need be listed.
| .............................................................
| .............................................................
| 7. List the name of any unit of government which employed | the person
making the statement during the preceding calendar | year other than the unit
or units of government in relation to | which the person is required to file.
| .............................................................
| .............................................................
| 8. List the name of any entity from which a gift or gifts, |
| or honorarium
or honoraria, valued singly or in the aggregate | in excess of $500, was
received during the preceding calendar | year.
| .............................................................
| VERIFICATION:
| "I declare that this statement of economic interests | (including any
accompanying schedules and statements) has been | examined by me and to the
best of my knowledge and belief is a | true, correct and complete statement
of my economic interests | as required by the Illinois Governmental Ethics
Act. I | understand that the penalty for willfully filing a false or
| incomplete statement shall be a fine not to exceed $1,000 or | imprisonment
in a penal institution other than the penitentiary | not to exceed one year,
or both fine and imprisonment."
| ................ ..........................................
| (date of filing) (signature of person making the statement)
| (Source: P.A. 92-101, eff. 1-1-02.)
|
Effective Date: 1/1/2008
|
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