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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