Robert BreenI ' �� ` 3 l�ateLLF2ece`v
o i�atU omK
STATEMENT OF ECONOMIC INTEREST 1
COVER PAGE
i
Please type of print in ink A Public Document I ('i% _ 0L E K'S 0FF10E
NAME (LAST) nn - (FIRST) (MIDDLE) DAYTIME TELEPHONE NUMBER
71 S
MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: FAX / E -MAIL ADDRESS
(May use business address)
1 . Office, Agency, or Court
Name of Office, Agency, or Court:
(!� �f= _RAEP
Division, Board, District, if applicable:
Your Position: -
IF' 0g gy gC (Zutwi�s
-+ If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency:
Position:
2. Jurisdiction of Office (cheek at feast one box)
❑ State
❑ County of
)City of
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
4. Schedule Summary
... Total number of pages
including this cover page:
+Check applicable schedules or "No 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,
& Business Positions (Income Omer man Gins
and Travel Payments)
Schedule D ❑ Yes – schedule attached
Income – Gifts -
Schedule E ❑ Yes – schedule attached
Income – Travel Payments
-or-
X No reportable interests on any schedule
❑ Assuming Office /Initial Date:_JJ—
Annual: The period covered is January 1, 2005,
through December 31, 2005. -
-or-
0 The period covered is through
December 31, 2005.
❑ Leaving Office Date Left:—/ —
(Check one)
• The period covered is January 1, 2005, through
the date of leaving office.
-or-
O The period covered is through
the date of leaving office.
❑ Candidate
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.
�ti tv xdr Gr
Date Signed (month, day, year)
Signature `
(File the ongmally sgnetl statement vnlh your filing oHirol.)
FPPC Form 700 (200512006)
FPPC Toll -Free Helpline: E661ASK -FPPC