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HB3487 Engrossed |
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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 |
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| 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 |
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| by this Article to be filed
with the Secretary of State shall |
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| be filled in by
typewriting or hand printing, shall be |
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| verified, dated, and signed by the
person making the statement |
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| 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 |
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| is filed)
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| .............................................................
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| (full mailing address
post office address to which notification |
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| 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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HB3487 Engrossed |
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LRB095 10263 JAM 30478 b |
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| making the
statement) of a spouse or any other party, shall be |
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| considered to be the
same as the interest of the person making |
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| 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 |
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| listing.
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| 1. List the name and instrument of ownership in any entity |
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| doing
business in the State of Illinois, in which the ownership |
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| interest held by
the person at the date of filing is in excess |
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| of $5,000 fair market value
or from which dividends in excess |
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| of $1,200 were derived during the
preceding calendar year. (In |
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| the case of real estate, location thereof
shall be listed by |
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| street address, or if none, then by legal description.)
No time |
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| or demand deposit in a financial institution, nor any debt
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| instrument need be listed.
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| 16 | | Business Entity |
Instrument of Ownership |
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| 17 | | ............................... |
............................... |
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| 18 | | ............................... |
............................... |
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| 19 | | ............................... |
............................... |
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| 20 | | ............................... |
............................... |
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| 2. List the name, address and type of practice of any |
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| professional
organization in which the person making the |
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| statement was an officer,
director, associate, partner or |
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| proprietor or served in any advisory
capacity, from which |
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| income in excess of $1,200 was derived during the
preceding |
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| calendar year.
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HB3487 Engrossed |
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LRB095 10263 JAM 30478 b |
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| 1 | | Name |
Address |
Type of Practice |
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| 2 | | .................... |
.................... |
..................... |
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| 3 | | .................... |
.................... |
..................... |
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| 4 | | .................... |
.................... |
..................... |
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| 3. List the nature of professional services rendered (other |
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| than to the
State of Illinois) to each entity from which income |
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| exceeding $5,000 was
received for professional services |
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| rendered during the preceding calendar
year by the person |
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| making the statement.
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| .............................................................
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| .............................................................
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| 4. List the identity (including the address or legal |
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| description of real
estate) of any capital asset from which a |
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| capital gain of $5,000 or more
was realized during the |
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| 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 |
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| the person
making the statement maintains a close economic |
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| association, including the
name of the lobbyist and specifying |
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| the legislative matter or matters which
are the object of the |
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| lobbying activity, and describing the general type of
economic |
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| activity of the client or principal on whose behalf that person |
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| is
lobbying.
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| 25 | | Lobbyist |
Legislative Matter |
Client or Principal |
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| 26 | | .................... |
.................... |
..................... |
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HB3487 Engrossed |
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LRB095 10263 JAM 30478 b |
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| 1 | | .................... |
.................... |
..................... |
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| 6. List the name of any entity doing business in the State |
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| of Illinois
from which income in excess of $1,200 was derived |
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| during the preceding
calendar year other than for professional |
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| services and the title or
description of any position held in |
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| that entity. (In the case of real
estate, location thereof |
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| shall be listed by street address, or if none,
then by legal |
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| description). No time or demand deposit in a financial
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| institution nor any debt instrument need be listed.
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| 10 | | Entity |
Position Held |
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| 11 | | ............................... |
............................... |
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| 12 | | ............................... |
............................... |
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| 13 | | ............................... |
............................... |
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| 7. List the name of any unit of government which employed |
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| the person
making the statement during the preceding calendar |
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| year other than the unit
or units
of government in relation to |
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| 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 |
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| in excess of $500, was
received during the preceding calendar |
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| 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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HB3487 Engrossed |
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LRB095 10263 JAM 30478 b |
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| (including any
accompanying schedules and statements) has been |
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| examined by me and to the
best of my knowledge and belief is a |
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| true, correct and complete statement
of my economic interests |
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| as required by the Illinois Governmental Ethics
Act. I |
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| 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 |
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| imprisonment
in a penal institution other than the penitentiary |
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| 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 |
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| by this Article to be filed
with the county clerk shall be |
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| filled in by typewriting
or hand printing, shall be verified, |
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| dated, and signed by the person
making the statement and shall |
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| contain substantially the following:
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| STATEMENT OF ECONOMIC INTERESTS
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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 |
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| is filed)
...................................................
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| (full mailing address
post office address to which notification |
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HB3487 Engrossed |
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LRB095 10263 JAM 30478 b |
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|
| 1 |
| of an
examination of this statement should be sent)
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| 2 |
| GENERAL DIRECTIONS:
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| The interest (if constructively controlled by the person |
| 4 |
| making the
statement) of a spouse or any other party, shall be |
| 5 |
| considered to be the
same as the interest of the person making |
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| the statement.
|
| 7 |
| Campaign receipts shall not be included in this statement.
|
| 8 |
| If additional space is needed, please attach supplemental |
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| listing.
|
| 10 |
| 1. List the name and instrument of ownership in any entity |
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| doing
business with a unit of local government in relation to |
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| which the
person
is required to file, in which the ownership |
| 13 |
| interest held by the person at
the date of filing is in excess |
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| of $5,000 fair market value or from which
dividends in excess |
| 15 |
| of $1,200 were received during the preceding calendar
year. (In |
| 16 |
| the case of real estate, location thereof shall be listed by
|
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| street address, or if none, then by legal description.) No time |
| 18 |
| or demand
deposit in a financial institution, nor any debt |
| 19 |
| instrument shall be
listed.
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| 20 | | Business |
Instrument of |
Position of |
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| 21 | | Entity |
Ownership |
Management |
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| 22 | | .................... |
.................... |
..................... |
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| 23 | | .................... |
.................... |
..................... |
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| 24 | | .................... |
.................... |
..................... |
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| 2. List the name, address and type of practice of any |
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| professional
organization in which the person making the |
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|
HB3487 Engrossed |
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LRB095 10263 JAM 30478 b |
|
|
| 1 |
| statement was an officer,
director, associate, partner or |
| 2 |
| proprietor, or served in any advisory
capacity, from which |
| 3 |
| income in excess of $1,200 was derived during the
preceding |
| 4 |
| calendar year.
|
|
| 5 | | Name |
Address |
Type of Practice |
|
| 6 | | .................... |
.................... |
..................... |
|
| 7 | | .................... |
.................... |
..................... |
|
| 8 | | .................... |
.................... |
..................... |
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| 3. List the nature of professional services rendered (other |
| 10 |
| than to the
unit or units of local government in relation to |
| 11 |
| which the person is
required to
file) to each entity from which |
| 12 |
| income exceeding $5,000 was received for
professional services |
| 13 |
| rendered during the preceding calendar year by the
person |
| 14 |
| making the statement.
|
| 15 |
| .............................................................
|
| 16 |
| .............................................................
|
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| 4. List the identity (including the address or legal |
| 18 |
| description of real
estate) of any capital asset from which a |
| 19 |
| capital gain of $5,000 or more
was realized during the |
| 20 |
| 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 |
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| governmental action
requested by any entity which has applied |
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| to a unit of local
government
in relation to which the person |
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HB3487 Engrossed |
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LRB095 10263 JAM 30478 b |
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| must file for any license, franchise or
permit for annexation, |
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| zoning or rezoning of real estate during the
preceding calendar |
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| year if the ownership interest of the person filing is
in |
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| excess of $5,000 fair market value at the time of filing or if |
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| income or
dividends in excess of $1200 were received by the |
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| person filing from the
entity during the preceding calendar |
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| 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 |
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| of
local
government in relation to which the person is required |
| 13 |
| to file from which
income in excess of $1,200 was derived |
| 14 |
| during the preceding calendar year
other than for professional |
| 15 |
| services and the title or description of any
position held in |
| 16 |
| that entity. No time or demand deposit in a financial
|
| 17 |
| institution nor any debt instrument need be listed.
|
| 18 |
| .............................................................
|
| 19 |
| .............................................................
|
| 20 |
| 7. List the name of any unit of government which employed |
| 21 |
| the person
making the statement during the preceding calendar |
| 22 |
| year other than the unit
or units of government in relation to |
| 23 |
| which the person is required to file.
|
| 24 |
| .............................................................
|
| 25 |
| .............................................................
|
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| 8. List the name of any entity from which a gift or gifts, |
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|
HB3487 Engrossed |
- 9 - |
LRB095 10263 JAM 30478 b |
|
|
| 1 |
| or honorarium
or honoraria, valued singly or in the aggregate |
| 2 |
| in excess of $500, was
received during the preceding calendar |
| 3 |
| year.
|
| 4 |
| .............................................................
|
| 5 |
| VERIFICATION:
|
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| "I declare that this statement of economic interests |
| 7 |
| (including any
accompanying schedules and statements) has been |
| 8 |
| examined by me and to the
best of my knowledge and belief is a |
| 9 |
| true, correct and complete statement
of my economic interests |
| 10 |
| as required by the Illinois Governmental Ethics
Act. I |
| 11 |
| understand that the penalty for willfully filing a false or
|
| 12 |
| incomplete statement shall be a fine not to exceed $1,000 or |
| 13 |
| imprisonment
in a penal institution other than the penitentiary |
| 14 |
| not to exceed one year,
or both fine and imprisonment."
|
| 15 |
| ................ ..........................................
|
| 16 |
| (date of filing) (signature of person making the statement)
|
| 17 |
| (Source: P.A. 92-101, eff. 1-1-02.)
|