***Amended official stamped report in PDF
**Original official stamped report in PDF

Report of Robert Klitzkie
required by 4 GCA Ch. 13
for the calendar year ending
December 31, 2003

  1. I received no honorariums. The names and addresses of all persons or organizations from whom I received compensation for services, including fees, commissions, salaries and similar items and the amounts received are set out below:
a.
Government of Guam Retirement Fund
424 Route 8
Maite 96927
$57462.92
 
b.
Social Security Administration
600 West Madison St.
Chicago IL 60661-2474
$76
 
c.
Pacific Security Alarm
1406 N. Marine Drive Suite 201
Tamuning 96911
$10794.87
 
d.
Government of Guam, I Liheslaturan Guahan
155 Hessler Place
Hagatna, 96910
$45306
  My spouse received no honorariums. The names and addresses of all persons or organizations from whom she received compensation for services, including fees, commissions, salaries and similar items and the amounts received are set out below:
 
a.
University of Guam
UOG Station Mangilao 96923
$30640.99
 
b.
Government of Guam Retirement Fund
424 Route 8
Maite 96927
$71047.20
  2. We did not receive income from any business enterprise.
  3. We derived no gains from dealings in real property.
  4. The sources from which we derived interest income and the amounts are as follows:
 
a.
Merrill Lynch Banking Advantage
Box 3032
Lakewood NJ 08701-8132
$917.31
 
b.
Bank of Guam
Hagatna
$88.39
  5. We received no rental income.
  6. We received no royalties.
  7. The sources from which we derived dividend income and the amounts are as follows:
 
a.
Pentagon Federal Credit Union
Box 1432
Alexandria VA 22313-2032
$3.74
  8. We received no assistance in the discharge of any indebtedness.
  9. We derived no income or benefits from a share in a partnership or professional group.
  10. We derived no income from an estate or trust.
  11. We received no gifts from any source, which in aggregate value exceed $100
  12. The assets that I, or my wife, or both of us jointly, hold are as follows:
 
a.
One condominium in Yigo
$150000
 
b.
One condominium in Yigo $163000
 
c.
One 2000 Ford Focus $8395
 
d.
One 1992 Daihatsu Rocky $3170
 
e.
Merrill Lynch Cash Management Account $74497.42
 
f.
Merrill Lynch Cash Management Account $24913.81
 
g.
Merrill Lynch IRA $417460.86
 
h.
Merrill Lynch IRA $184428.40
 
i.
Merrill Lynch SEP $1547.52
 
j.
Merrill Lynch 403B $34230.38
 
k.
USAA Life Insurance Policy cash value $62697.65
 
l.
Pacific Security Alarm, Inc. 401k $61618.44
 
m.
Bank of Guam Checking Account $21563.25
 
n.
Pentagon Federal Credit Union checking account $500.97
 
o.
Pentagon Federal Credit Union share account $23.77
 
p.
First Hawaiian Bank checking account $1775.75
 
q
GovGuam Deferred Compensation Plan $8522.64
  12. Neither I, nor my wife, nor both of us jointly, owed any person or organization an aggregate indebtedness in excess of $5000.
  13. I have not established, nor have there been established on my behalf, any funds to assist me in defraying expenses, which may be incurred by reason of my being a candidate.
 
I declare under penalty of perjury that the foregoing is true and correct.


_________________________, Yigo, June 1, 2004 (amended on June 7, 2004)
Robert Klitzkie



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