Form-Specific Questions
The numbers listed below relate directly to the corresponding numbers on the form. If you have additional questions, please contact the University Ethics Office on the Toll-free Ethics Help Line at: 866-758-2146 or via e-mail at: ethicsofficer@uillinois.edu
Please remember to place "N/A" in the blank if the question is not applicable to you.
1. For question #1-
items typically listed under business entity include:
- any single block of stock worth $5,000 or more in one company (name only - NOT THE AMOUNT)
- real estate (other than your personal residence - list the address)
- rental property (list the address)
- farm land (provide a brief description and the name of the county where it is located)
- mutual funds (you do not need to list individual funds, just the group you
have invested with: i.e., Merrill Lynch, Fidelity, etc. Also, you would have to have at least $1,200 in
dividends from a single company, which is not typically the case with diversified investments - AMOUNT IS NOT NECESSARY)
- YOU DO NOT NEED TO LIST savings accounts, CD's, tax exempt bonds, retirement accounts, or bank accounts.
items typically listed as the corresponding instrument of ownership include:
- partner
- sole owner
- stock holder/shareholder
- trustee
- joint-ownership by spouse or immediate family member
- ownership by spouse or immediate family member
2. For question #2-
the types of professions that would typically be listed include, but are not limited to:
- attorneys
- physicians
- accountants
- bankers
- engineers
- architects
- dentists
- clinical psychologists
3. For question #3 -
The most common answer here would relate to consulting work. You do not have to list your clients - you just need to document the name of the consulting company or practice.
4. For question #4 -
Capital gains are before taxes or re-investment. Examples include:
- sale of land, home, or other property (only the address must be listed - NOT THE AMOUNT)
- sale of single blocks of stock (only the name of the stock must be listed - NOT THE AMOUNT)
- Car sales DO NOT need to be listed.
5. For question #5-
This question basically asks whether or not the individual knows or has connections to a lobbyist. For example, if your spouse is a lobbyist, this must be listed.
6. For question #6 -
Often times, you can respond "see number 1" for this question if you have completed #1 on the previous page. Here you need to list instruments of ownership that gross over $1,200 per year in income. Examples include businesses, rental properties, book royalties and stock dividends.
7. For question #7 -
Here, you need to list any other government employment you hold, such as:
- School Board (IF PAID)
- Zoning Board (IF PAID)
- County Board (IF PAID)
- Park Board (IF PAID)
- Army Guard
- Air Guard
- employment by other state agencies or state Universities
- previously held positions with other state agencies
If it is paid from or controlled by tax dollars, it should be listed.
8. For question #8 -
For this question, you must list any gift received where the value was greater than $500. You do not need to list the amount, just the name of the giver. Inheritances must be listed (example: Inheritance from the Estate of John Doe), but not their amounts. Personal gifts must also be listed here.