Jim GuerraDate Received
STATEMENT OF ECONOMIC It EIVED Olada' use omy
A Public Document F ROSEMEAD
Please type or print in ink MAR 14 tool
NAME (LAST) (FIRST) - CLERK'S O TELEPHONE NUMBER
GUERRA
JAMES
CITY
FAX / E -MAIL ADDRESS
(May be business address)
13191 CROSSROADS PKWY N. #405 INDUSTRY CA 91746 jguerra @willdan.com
COVER PAGE
1. Name of Office Sought or Held, Agency or 4. Schedule Summary
Court (Provide precise name. Do not use - acronyms.) .(Chock applicable schedules lY - No reportable interests.
CITY OF ROSEMEAD • During the reporting period, did you have any reportable
Division, Board, District, if applicable: interests to disclose on:
Position:
CONSULTING BUILDING OFFICIAL
• If Expanded Statement - List agency /position:
(Attach a separate sheet it necessary. Do not use acronyms.
File originally signed statement with each filing official.)
Agency:
Position Title: _
2. Office Jurisdiction (Check one)
❑ State
❑ County of
NCityof ROSEMEAD
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date: J -J—
® Annual
(Check one)
(YThe period covered is January 1, 2000, through
December 31, 2000.
0 The period covered is through
December 31, 2000.
❑ Leaving Office Date Left:
(Check one)
• The period covered is January 1, 2000, through the
date of leaving office.
• The period covered is —J ___J_, through the
date of leaving office.
❑ Candidate
Schedule A -1 ❑ Yes - schedule attached
Investments ( Less than Los: Ownershlp)
Schedule A -2 ❑ Yes - schedule attached
Investments ( Greelerthm last ownership)
Schedule B ❑ Yes - schedule attached
Real Property
Schedule C
[JYes - schedule attached
Income & Business Positions (Income Omer man Loans, Gins, and Tmveg
Schedule D
❑ Yes — schedule attached
Income -- Loans
Schedule E
❑ Yes - schedule attached
Income - Gifts
Schedule F
❑ Yes - schedule attached
Income - Travel Payments - -
w ❑ No reportable interests on any schedule
Total number of pages (including this cover page): 2
S. 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.
EXECUTED ON /2- -Q./
(month, day, year)
SIGNATURE
(File th originally signed statement with your filing omcW)
FPPC Form 700 (2 0 0 012 0 01)
FPPC Toll -Free Helpllne: 866 /ASK -FPPC
Schedule C /
Income & Business Positions
(Income Other than Loans, Gifts, and I Name
Travel Payments) JAMES M . G
> NAME OF SOURCE
JAMES M. GUERRA
ADDRESS 13191 CROSSROADS PKWY N. #405
INDUSTRY CA 91746
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
CONSULTING BUILDING OFFICIAL
GROSS INCOME RECEIVED ,
❑ ssoo - $1,000 ® $1.001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,ODD
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
�] Salary ❑ Spouse's income {] Loan repayment
❑ Sale of
(Property, cah boat, etc)
❑ Commission or ❑ Rental Income,.0st each source of $10,000 or more
❑ Other
(DesrJiba)
> NAME OF SOURCE
ADDRESS.
BUSINESS ACTIVITY, IF ANY, OF SOURCE
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 income ❑ Loan repayment
❑ Sale of
(Property car, boat, etc.)
❑ Commission or ❑ Rental Income, fist each source of $10,000 or more
❑ Other
(Describe)
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ ssoo- $1,000 ❑ $1,001 - $10.000
❑ $10.001 - $100.000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's income ❑ Loan repayment
❑ Sale of
(Property, car, boat, etc.)
❑ Commission or - ❑ Rental Income, list each source of $10,000 or mom
❑ Other
(DescnbeJ
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, 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 income ❑ Loan repayment
❑ Sale of
(Property, car, boat, arc.)
❑ Commission or []Rental Income, list each source of $10,000 or mare
❑ Other
Comments:
(Descrlbe)
FPPC Form 700 (2 0 0 012 0 01) Sch. C
FPPC Toll -Free Helpllne: 666 /ASK -FPPC