Robert Breen_o ". � X 16'- N fGf.De Received
STATEMENT OF ECONOMIC INTE , ROSEMl
� pI I A Public DocunaeW MAR 0 :; 2002
Please type or print in ink r-� v L I �' ` COVER PAGE
"�"y ('p 1719KS OFF"
NAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEPHONE NUMBER
13 (z�zN 2 C3Tzcz5 Ave A ff�9ecz- (�u ) -4/�l
MAILING ADDRESS STREET CITY ZIP CODE OPTIONAL. FAX / E -MAIL ADDRESS
(May be business address)
J,� � M Ajgs RAO" T R o stra L- A-b t 77
1. Full Name of Office Sought or Held,
Agency or Court:
Division, Board, District, it applicable:
Position: -
P I.>,4�1151nIL'� �e�tfalf sslenl��
If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency:
Position Title:
2. Jurisdiction of Office (Check one box)
❑ State
❑ County of
City of RCISE t - a)s
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Dater —�—
( Annual: The period covered is January 1, 2001,
T` through December 31, 2001.
-or-
0 The period covered is �_J through
December 31, 2001.
❑ Leaving Office Date Left: - --
(Check one)
0 The period covered is January 1, 2001, through
the date of leaving office.
-or-
0 The period covered is �_� through
the date of leaving office.
❑ Candidate
4. Schedule Summary
(Check applicable schedules or No reportable interests. ")
— During the reporting period, did you have any reportable
interests to disclose on: -
Schedule A - ❑ Yes - schedule attached
Investments (Less than 10% ownershIPI
Schedule A -2 ❑ Yes - schedule attached -
Investments (Grealer than 10 % Ownershi0l
Schedule B ❑ Yes - schedule attached
Real Property - ..
Schedule C ❑ Yes - schedule attached
income & Business Positions (Income other rhan Loans. GDIs, and Travel)
Schedule D ❑ Yes - schedule attached
income - Loans
Schedule E ❑ Yes - schedule attached
Income - Gills
Schedule F ❑ Yes - schedule attached - -
income - Travel Payments -
-or-
❑ No reportable interests on any schedule
Total number of pages completed including this
cover page:_
5. Verification
1 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 under the laws of the Slate of California
that the foregoing is true and correct.
Date Signed
Signature � th
(Fi the onginally signed statement with your Lung otLaal.)
FPPC Form 700 (200112002)
FPPC Toll -Free Helpline: 866 /ASK -FPPC