Robert Breenr
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Please type or print in ink.
COVER PAGE
A Public Document
ZOUB NOV -3 PH 2' 45
NAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEPHONE NUMBER
`(3 R E C- 1-( 6ex (56 f Z /7 -fA98
MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: FAX I E -MAIL ADDRESS
(May use business address)
ib' 6 2 $ ttAw VA a c cY l Aw >c W lE rr- - Q ie.— eA
1 . Office, Agency, or Court
Name of Office, Agency, or Court:
r .EpINIWA Pio, tutetSstriy)EO-
Division, Board, District, if applicable: -�
Your Position: -
'FL,EANW CeuL ts�ro N
If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency:
Position:
2. Jurisdiction of Office (Check at feast one box)
❑ State
❑ County of
XLcily of RoJ
❑ Multi- County
❑ Other
3. Type of Statement (Check at /east one box)
❑ Assuming Office /Initial Date: J am—
I� Annual: The period covered is January 1, 2007,
through December 31, 2007.
-or-
0 The period covered is through
December 31, 2007.
20 g
Leaving Office Date Left:J�—
(Check one)
O The period covered is January 1, 2007, through the
date of leaving office.
-or-
0 The period covered is through
the date of leaving office.
❑ Candidate
Q E C c ' Rat" eceived
STATEMENT OF ECONOMIC INTERESTS FAIR POLI11 ag °n"
;f'F? ; C TICE', CCmf'15ML: .
4. Schedule Summary
+Total number of pages
including this cover page:
Check applicable schedules or "N reportable
interests."
I have disclosed interests on one or more of the
attached schedules:
Schedule A -1 ❑ Yes - schedule attached
Investments (Less than to% Ownership)
Schedule A -2 ❑ Yes - schedule attached
Investments (to% or greater Ownership)
Schedule B ❑ Yes - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
Income, Loans, 8 Business Positions (Income other than Gifts
and Travel Payments)
Schedule D ❑ Yes - schedule attached
Income - Gifts
Schedule E ❑ Yes - schedule attached
Income - Travel Payments
-or-
❑ No reportable interests on any schedule
5. Verification
I have used all reasonable diligence in preparing this
statement. I have reviewed this statement and to the best of
my knowledge the information contained herein and in any
attached schedules is true and complete.
I certify under penalty of perjury underthe laws of the State
of California that the foregoing is true and correct.
Date Signed .L,/ 2 4�
(month, day, year)
Signature
(File the originally signed statement valh your filing official.)
FPPC Form 700 (200712008)
FPPC Toll -Free Helpline: 866IASK -FPPC
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