For You

Part 2

Report an asset related to your employment (which includes any non-investment activities and retirement accounts) if the value of the asset was more than $1,000 at the end of the reporting period or if you received more than $200 in income during the reporting period.

In addition, report each source, whether a natural person or an organization or entity, if you received more than $200 in earned income and other non-investment income during the reporting period.  There are additional requirements for honoraria payments, as discussed in the honorarium entry of this guide.

Generally, you need to report assets and sources of non-investment income as follows:

Description:  Provide a description sufficient to identify the asset or source of income being reported.  The amount of information needed for a sufficient description will depend on the type of asset or source of income being reported. 

(1) Stock and other equity in a business:  Provide the name of the business.  For a privately held business, describe the line of business as well, unless you have already provided this information in another entry.  For publicly traded stocks, it is helpful to provide the ticker symbol in addition to the name of the stock.

(2) Other assets with specific names (e.g., bonds and mutual funds):  Provide the full name of the asset and, unless clear from the name, describe the type of asset.  For publicly traded securities, it is helpful to provide the ticker symbol in addition to the name of the security.

(3) Assets without specific names:  Describe the type of asset, including the city and state (or county and state) for real estate.

(4) Sources of earned or other non-investment income:  Provide the name of the source and, for privately held companies, the nature of the business.  In addition, for honoraria, include the date that the services were provided.

EIF:  If you are reporting an investment vehicle that invests in assets of its own, you need to report each underlying asset that was individually worth more than $1,000 at the end of the reporting period or from which more than $200 in income was received during the reporting period.  As an exception to this requirement, however, you do not need to report the underlying assets of an investment vehicle that qualifies as an excepted investment fund (EIF).  Indicate whether your entry (1) is an investment vehicle that qualifies as an EIF (“Yes”), (2) is an investment vehicle that does not qualify as an EIF (“No”), or (3) is not an investment vehicle at all (“N/A”).

Value:  Report the value of an asset by selecting the appropriate category.

Income Type:  Specify the type(s) of income, unless the asset qualifies as an EIF or the income did not exceed $200.

Income Amount:

(1) Income less than $201:  Select the category for “None (or less than $201).”

(2) Dividends, capital gains, interest, rent, royalties, or income from excepted investment funds:  Select the category that corresponds to the total amount of income received during the reporting period.

(3) Other income:  Provide the exact amount of income received during the reporting period.

Assets and Income That Are Not Reportable

• Do not include assets or income from United States Government employment (e.g., salary, FERS, and Thrift Savings Plan account).
• Assets that were acquired separately from your business, employment, or other income-generating activities (e.g., assets purchased through a brokerage account).  Report these assets in Part 6 instead.