Supplemental Statement of Economic Interest Form

All employees required to complete a Statement of Economic Interests based on the criteria identified in the Illinois Governmental Ethics Act (5 ILCS 420/Art. 4A) must also complete the Supplemental Statement of Economic Interest (SSEI).  The SSEI is required by Ill. Executive Order 15-09 (January 13, 2015)

Employees who have not received their email with their unique pin should email: eec.ssei@illinois.gov with their name and state agency name (University of Illinois), and the Executive Ethics Commission will follow-up to provide this information.

The Filing Process

  • For all required filers with a designated university email account, instructions containing a website link and a unique pin will be sent by the Executive Ethics Commission in mid-March for electronic filing.  Required filers who do not have an email address on file will be sent a paper form to their home mailing address.  All forms must be filed electronically or post-marked by May 1st.

  • Paper forms can be mailed via US Postal Mail to:

Illinois Executive Ethics Commission

401 S. Spring Street

Wm. Stratton Bldg., Room 513

Springfield, IL 62706

 

Please Note: Though this form may be sent electronically, all traditional Statement of Economic Interests forms must still be sent via US Mail, as required by law

Blank Supplemental Statement of Economic Interest Form

You can access the electronic and paper Supplemental Statement of Economic Interest forms at: http://www.illinois.gov/eec/ExecutiveOrder/Pages/Home.aspx.

Please be sure to fill out the Name, Signature, and Date in the spaces provided at the bottom of the form. Additionally, "University of Illinois" should be written on the line for "Office or position of employment for which this Statement is filed."

  • For question #1: Please include any building in which you, your spouse, or a child under the age of 18 have a 5% or greater ownership interest that is rented or leased to the State of Illinois or a State Agency.

  • For question #2: A “non-governmental position” is a director or officer of a for-profit or not-for-profit entity.  It includes directors and officers and partners of corporations, LLCs and similar.  It includes board members and officers of charitable organizations.  It does not include employees or volunteers or mere members of these organizations.

  • For question #3: This question is intended to identify those who might have a personal conflict of interest in litigation involving the State of Illinois.  If you have filed a lawsuit against a state agency or with the State of Illinois, or if you are party to a lawsuit involving a state agency or the State of Illinois, please provide this information in the space provided.  You do not need to list any litigation where you were sued in your official capacity as a University employee. 

Executive Order Reference

Ill. Exec. Order 15-09 (Jan. 13, 2015) - Defines what information must be disclosed in the supplemental forms, who must file the forms, and also identifies the Illinois Executive Ethics Commission as the party responsible for the development, management, and filing of these forms.