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Robert Breen
Date Received ® andd use Dory STATEMENT OF ECONOMIC INTE OF ROSEMEAD A Public Document OU U 7 2001 Please type or print in ink R I rAT F NAME (LIST) - (FIRST) (MIDDI&TY CLERK ONE NUM13ER ` yt c- o N ' � A LIz2CAt4V�-Cqz- (�,2 6 5 73 - 144 1 MAe ING ADDRESS STREET CITY ZIP CODE OPTIONAL: FAX / E -MAIL ADDRESS s address) 925 5 MARgl(d�Lti �F- ©st K I=a3�) 9( COVER PAGE 1. Name of Office Sought or Held, Agency or 4. Schedule Summary Court (Provide precise name. Do not use ( acronyms.) (Check applicable schedules Q - No reportable interests.') C I fY a d= Rost= M L During the reporting period, did you have any reportable Division, Board, District, if applicable: interests to disclose on: Position: Schedule A -1 ❑ Yes - schedule attached Investments (Less then fo% Dwnership) - �L A N t i ( N (- Cl2tul 0 ( 1 SS Ida L � Schedule A -2 ❑ Yes - schedule attached investments (Greaser than fc% ownerehlp) 00 If Expanded Statement - List agency /position: (Attach a separate sheet if necessary. Do not use acronyms. File originally signed statement with each filing official) Agency: Position Title: 2. Office Jurisdiction (Check one) ❑ State ❑ County of (� ®,City of X1 tz As') ❑ Multi -County ❑ Other 3. Type of Statement (Check at least one box) ❑ Assuming Office/Initial Date: ❑ Annual (Check one) 0 The period covered is January 1, 2000, through December 31, 2000. 0 The period covered is December 31. 2000. through ❑ Leaving Office Date Left: (Check one) 0 The period covered is January 1, 2000, through the date of leaving office. 0 The period covered is through the date of leaving office. ❑ Candidate Schedule B ❑ Yes - schedule attached Real Property - Schedule C ❑ Yes - schedule attached Income & Business Positions (Income olhar than Loans, Gifts, and Travel) Schedule D ❑ Yes - schedule attached Income - Loans Schedule E ❑ Yes - schedule attached Income - Gifts Schedule F Yes - schedule attached Income - Travel Payments no ❑ No reportable interests on any schedule Total number of pages (including this cover page): 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 under the laws of the State of California that the foregoing is true and correct. EXECUTED ON M AC2,C 1 4 T, 2 0 G I (m day. yead SIGNATURE `' 'LII (Fila onginb7ly signed statement wlah your filing official) FPPC Form 700 (2 0 0 012 0 01) FPPC Toll -Free Helpllne: 666/ASK -FPPC