Jim GuerraSTATEMENT OF ECONOMIC
Please type or print in ink
COVER PAGE
A Public Document
NAME (LAST)
(FIRST)
(MIDDLE)
I�
b''AVTFME;`E &"N&NWMBER
GUERRA
JAMES
M
562 908 -6200
MAILING ADDRESS STREET
CITY
STATE ZIP CODE
OPTIONAL: FAX /E -MAIL ADDRESS
(May use business address)
13191 CROSSROADS PKWY N. 9405
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:
CONSULTING BUILDING OFFI
• 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 ROSEMEAD
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date: __J __J
❑X Annual: The period covered is January 1, 2006,
through December 31, 2006.
-or-
0 The period covered is ��, through
December 31. 2006.
❑ Leaving Office Date Left:
(Check one)
O The period covered is January 1, 2006, through
the date of leaving office.
-or-
0 The period covered is through
the date of leaving office.
❑ Candidate
4. Schedule Summary
Total number of pages
including this cover page: 2
Check applicable schedules or "No reportable
interests."
I have disclosed interests on one or more of the
attached schedules:
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 ❑ Yes - schedule attached
income - Gifts
Schedule E ❑ Yes - schedule attached
Income - 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 penalty of perjury under the laws of the State
of California that the foregoing is true and correct.
Date Signed MARCH 22, 2007
(month, day, year)
Signature
(File Ih originally signed stale enl with your
FPPC Form 700 (200612007)
FPPC Toll -Free Helpline: 8661ASK -FPPC
SCHEDULE C I
Income, Loans & Business
Positions Name
(Other than Gifts and Travel Payments) JAMES M. GUERRA
NAME OF SOURCE OF INCOME
JAMES M. GUERRA- WILLDAN
ADDRESS
13191 CROSSROADS PKWY N. #405
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
CONSULTING BUILDING OFFICIAL
GROSS INCOME RECEIVED
❑ $500 - $1,000 -❑X $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
Q Salary ❑ Spouse's or registered domestic partners income
❑ Loan repayment
❑ Sale of
(Property, car, boat, etc.)
❑ Commission or ❑ Rentallnmme ,tlsteachsoarceofslo,o00ormore
❑ Other
(Describe)
NAME OF SOURCE OF INCOME
ADDRESS
BUSINESS ACTIVITY, IFANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 - $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 partners income
❑ Loan repayment
❑ Sale of
(Property, car, boat, etc)
❑ Commission or ❑ Rental Income, tisteachsoarceoi$10,000ormom
❑ Other
(Describe)
L OAN RECEIVED
* 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 ACTIVITY, IF ANY, OF LENDER
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000
❑ $1,001 - $10,000
❑ $10,001 - $100,000
❑ OVER $100,000
Comments:
INTEREST RATE TERM (Months/Years)
% ❑ None
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property
Street atltlress
❑ Guarantor
❑ Other
(Describe)
FPPC Form 700 (200612007) Sch. C
FPPC Toll -Free Helpline: 866 1ASK -FPPC