Charles R. Breyer

», #

i 1 certify that all information given above (including information pertaining to my spouse and minor or dependent children,

if any) is accurate, true, and complete to the best of my knowledge and belief, and that any information not reported was

withheld because it met applicable statutory provisions permitting non-disclosure.

1 further certify that earned income from outside employment and honoraria and the acceptance of gifts which have been

reported are in sompliance with the provisions of 5 U.S.C. § 501 et. seq., 5 U.S.C. § 7353, and Judicial Conference regulations.

47 s<

Signature

NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES OR FAILS T O FILE THIS REPORT MAY

BE SUBJECT TO CIVIL AND CRIMINAL SANCTIONS (5 U.S.C. app. § 104)

FILING INSTRUCTIONS

Mail signed original and 3 additional copies to:

Committee on Financial Disclosure

Administrative Office of the United States Courts

Suite 2-301

One Columbus Circle, NE.

Washington, D.C. 20544