Agency Report of: New Positions

Form 804 Instructions




Part 1 of 4: Agency Information






Part 2 of 4: New Position Information

First New Position



OR



Second New Position



OR



Third New Position



OR



Fourth New Position



OR



Fifth New Position



OR



Sixth New Position



OR



Seventh New Position



OR




Part 3 of 4: Verification

I have read and understand FPPC Regulations 18700.3 and 18734. I have verified that the disclosure assignment(s) set forth above, is in accordance with its provisions.





Part 4 of 4: Comments


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End of Page, Form 804.