SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
TANNER ROLAND S

(Last) (First) (Middle)
630 E FOOTHILL BLVD

(Street)
SAN DIMAS CA 91773

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
09/22/2004
3. Issuer Name and Ticker or Trading Symbol
AMERICAN STATES WATER CO [ AWR ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
VICE PRESIDENT
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common 6,745.1953 I 401K
Common 123 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Options 04/30/2001 04/30/2010 Common 165 $20.83 D
Stock Options 04/30/2002 04/30/2010 Common 165 $20.83 D
Stock Options 04/30/2003 04/30/2010 Common 170 $20.83 D
Stock Options 01/01/2002 01/01/2011 Common 165 $23.21 D
Stock Options 01/01/2003 01/01/2011 Common 165 $23.21 D
Stock Options 01/01/2004 01/01/2011 Common 170 $23.21 D
Stock Options 02/03/2003 02/03/2012 Common 248 $23.43 D
Stock Options 02/03/2004 02/03/2012 Common 248 $23.43 D
Stock Options 02/03/2005 02/03/2012 Common 254 $23.43 D
Stock Options 01/01/2004 12/31/2012 Common 248 $23.15 D
Stock Options 01/01/2005 12/31/2012 Common 248 $23.15 D
Stock Options 01/01/2006 12/31/2012 Common 254 $23.15 D
Stock Options 02/02/2005 02/01/2014 Common 248 $25.55 D
Stock Options 02/02/2006 02/01/2014 Common 248 $25.55 D
Stock Options 02/02/2007 02/01/2014 Common 254 $25.55 D
Explanation of Responses:
/s/ Roland S. Tanner 09/22/2004
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.