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James GuerraSTATEMENT OF ECONOMIC COVER PAGE Please type or print in ink. A Public Document u 2010 f x NAME (LAST) (FIRST) (MIDDLE) " " ° �7tP1'IMCT Ec'cr°,.�' n ',. ... Guerra James M ( 562 ) 908 -6200 MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: E -MAIL ADDRESS (Business Address Acceptable) 13191 Crossroads Pkwy N. #405 Industry CA 91746 jguerra @willdan.com 1 . Office, Agency, or Court Name of Office, Agency, or Court: City of Rosemead Division, Board, District, if applicable: Your Position: Cons ulting Building Official ► If fling for multiple positions, list additional agency(iesy position(s): (Attach a separate sheE :t if necessary.) Agency: Position: 2. Jurisdiction of Office ❑ State ❑ County of ® City of Rosemead ❑ Multi- County ❑ Other 3. Type of Statement (Check ai,, least one box) ❑ .Assuming Office /Initial Date: _J___J ❑x Annual: The period covered is Janu . ary 1, 2009, through December 31, 2009. -or- 0 The period covered is through December 31, 2009. ❑ Leaving Office Date Left: (Check one) O The period covered is January 1, 2009, through the date of leaving office. -or- 0 The period covered is _! /_, through the date of leaving office. ❑ Candidate Election Year at least one box) 4. Schedule Summary ► Total number of pages 2 including this cover page: ► Check applicable schedules or "No reportable interests." I have disclosed interests on one or more or the attached schedules: Schedule A -1 ❑ Yes - schedule attached Investments (Less than 10 % ownership) Schedule A -2 ❑ Yes - schedule attached Investments 00% w Greater Ownaewp) 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 ❑ Yes - schedule attached Income - Gifts Schedule E ❑ Yes - schedule attached Income - Gifts - Travel Payments -or- F] No reportable interests on any schedule 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 penally of perjury under the laws of the State of California that the foregoing is true and correct. Date Signe March 10, 2010 Signature slalamanr with your filing a fidal.) FPPC Form 700 (2009/2010) Helpline: 866 /ASK -FPPC www.fppc.ca.gov SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) NAME OF SOURCE OF INCOME James Guerra - Willdan ADDRESS (Business Address Acceptable) 13191 Crossroads Pkwy N. #405 Industry Ca 91746 BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION Consulting Building Official GROSS INCOME RECEIVED ❑ $500 � $1,000 ❑K $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,00(] CONSIDERATION FOR WHICH INCOME WAS RECEIVED © Salary ❑ Spouse's or registered domestic partner's income ❑ Loan repayment ❑ Sale of (PmpeOy, wq boot, ek.) ❑ Commission or ❑ Rental Income, Att each source of $10,000 or mnr ❑ Other (oaa�lbal ►. 2. LOANS RECEIVED OR O UTSTANDING DURING THEI REPORTING PERIOC CALIFORNIA FORM 7,00 FAIR PRACTICES COMMISSION Name James Guerra - Willdan NAME OF SOURCE OF INCOME ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ S500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary ❑ Spouse's or registered domestic partner's Income ❑ Loan repayment ❑ Sale of (Property, ce0 boat, ek.) ❑ Commission or ❑ Rental Income, list each source of $10,000 or more ❑ Other You are not required to report loans from commercial lending institutions, or any indebtedness created as part of a retail installment or credit card transaction, made in the lender's regular course of business on terms available to members of the public without regard to your official status. Personal loans and loans received not in a lender's regular course of business must be disclosed as follows: NAME OF LENDER' ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER HIGHEST BALANCE DURING REPORTING PERIOD ❑ $5W - $1.000 ❑ $1,001 - $10,000 ❑ Smoot - $100,000 ❑ OVER 5100,000 INTEREST RATE TERM (MonthslYears) ❑ None fDesoibe) SECURITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Property ❑ Guarantor_ ❑ Other (Descnne) Comments: FPPC Form 700 (200912010) Sch. C FPPC Toll-Free Helpline: 866)ASK -FPPC www.fppc.ca.gov Sneer Coy