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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.
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Be it enacted by the People of the State of Illinois,
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represented in the General Assembly:
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Section 5. The Illinois Governmental Ethics Act is amended |
by changing Sections 4A-103 and 4A-104 as follows:
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(5 ILCS 420/4A-103) (from Ch. 127, par. 604A-103)
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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:
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STATEMENT OF ECONOMIC INTEREST
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(TYPE OR HAND PRINT)
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.............................................................
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(name)
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.............................................................
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(each office or position of employment for which this
statement |
is filed)
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.............................................................
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(full mailing address
post office address to which notification |
of
an examination of this statement should be sent)
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GENERAL DIRECTIONS:
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The interest (if constructively controlled by the person |
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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.
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Campaign receipts shall not be included in this statement.
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If additional space is needed, please attach supplemental |
listing.
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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
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instrument need be listed.
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Business Entity |
Instrument of Ownership |
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| ............................... |
............................... |
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| ............................... |
............................... |
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| ............................... |
............................... |
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| ............................... |
............................... |
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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.
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|
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Name |
Address |
Type of Practice |
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| .................... |
.................... |
..................... |
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| .................... |
.................... |
..................... |
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| .................... |
.................... |
..................... |
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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.
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.............................................................
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.............................................................
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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.
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.............................................................
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.............................................................
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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.
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|
Lobbyist |
Legislative Matter |
Client or Principal |
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| .................... |
.................... |
..................... |
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|
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| .................... |
.................... |
..................... |
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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.
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|
Entity |
Position Held |
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| ............................... |
............................... |
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| ............................... |
............................... |
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| ............................... |
............................... |
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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.
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.............................................................
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.............................................................
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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.
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.............................................................
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VERIFICATION:
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"I declare that this statement of economic interests |
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(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
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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."
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................ ..........................................
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(date of filing) (signature of person making the statement)
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(Source: P.A. 92-101, eff. 1-1-02.)
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(5 ILCS 420/4A-104) (from Ch. 127, par. 604A-104)
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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.
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|
Business |
Instrument of |
Position of |
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Entity |
Ownership |
Management |
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| .................... |
.................... |
..................... |
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| .................... |
.................... |
..................... |
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| .................... |
.................... |
..................... |
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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 |
|
| .................... |
.................... |
..................... |
|
| .................... |
.................... |
..................... |
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| .................... |
.................... |
..................... |
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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.
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.............................................................
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.............................................................
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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.
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.............................................................
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.............................................................
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.............................................................
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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 |
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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.
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.............................................................
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.............................................................
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.............................................................
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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.
|
.............................................................
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.............................................................
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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.
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.............................................................
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.............................................................
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8. List the name of any entity from which a gift or gifts, |
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or honorarium
or honoraria, valued singly or in the aggregate |
in excess of $500, was
received during the preceding calendar |
year.
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.............................................................
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VERIFICATION:
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"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."
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................ ..........................................
|
(date of filing) (signature of person making the statement)
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(Source: P.A. 92-101, eff. 1-1-02.)
|