Stanton PriceSTATEMENT OF ECONOMIC INTERESTS
COVER PAGE
Please type or print in ink A Public Document
NAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEPHONE NUMBER
I't^IG S+izPI4-a losep� �I�f 2`17 -D35
MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: FAX I E -MAIL ADDRESS
(May use business address) 91 4 4p q- 9-3
F0,13ox�0`17 4,at � CA o9 -?6Y7 sl-un9LoL�Fkkw.c
1 . Office, Agency, or Court
Name of Office, Agency, or Court:
6 4 I�osr wIC
Division, Bo rd, Distrkt, if applicable:
1 2 1 aIn uttq J7�P�
Your Position:
J�z vim_ r
If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency:
Position:
2. Jurisdiction of Office (check at least one box)
❑ State
❑ County of
City of
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date:----J---J—
[A Annual: The period covered is January 1, 2004,
through December 31, 2004,
-or-
0 The period covered is �� —, through
December 31, 2004.
❑ Leaving Office Date Left: � J
(Check one)
• The period covered is January 1, 2004, through the
date of leaving office.
-o r-
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 youriave any reportable
interests to disclose on:
.Schedule A -1 ❑ Yes - schedule attached
Investments (Less than 10% ownership)
Schedule A -2 ❑ Yes - schedule attached
Investments (10% or greater Ownership)
Schedule B ❑ Yes - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
Income, Loans, & Business Positions (income other than Gifts and
Travel Payments)
Schedule D (Eliminated - report loans on Schedule C)
Schedule E ❑ Yes schedule attached.
Income - Gifts
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
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.
Date Signed M arc h q 20oS
(month, day, year)
Signature �(�u
(File originally signed stateme wilh your fling crucial.)
9
FPPC Form 700 (200412005)
FPPC Toll -Free Helpline: 866 /ASK -FPPC _
Date Received
oluclal one only