Jim GuerraDate Received
STATEMENT OFECONOTQ� TARE fir, OlficialUse Only
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NAME (LAST) (FIRST) DAYTIME TELEPHONE NUMBER
GUERRA JIM CITY 'S OFFICE (562 ) 908 -6289
MAILING ADDRESS - STREET CITY ZIP CODE OPTIONAL: FAX / E -MAIL ADDRESS
(May be business address)
13191 CROSSROADS PKWY., STE. 405 INDUSTRY CA 91746 -3497 (562) 695 -2120
COVER PAGE
1. Office, Agency, or Court
Provide precise name. Do not use acronyms.
C ITY OF ROSEMEAD
Division, Board, District, if applicable:
Position:
C ONSULTING BUILDING OFFTCTAT
-1 Expanded Statement - List agency /position:
(Attach a separate sheet if necessary. Do not use acronyms.)
Agency:
Position Title:
2. Office Jurisdiction (Check one)
❑ State
❑ County of
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date:--J---J—
® Annual
(Check one)
Q The period covered is January 1, 1999, through
December 31. 1999.
0 The period covered is
December 31, 1999.
through
❑ Leaving Office Date Left:
(Check one)
O The period covered is January 1, 1999, through
the date of leaving office.
0 The period covered is through
the date of leaving office.
❑ Candidate
4. Schedule Summary
(Check applicable schedules or "No reportable interests. ")
y During the reporting period, did you have any reportable
interests to disclose on:
Schedule A -1 ❑ Yes - schedule attached
Investments (Less than 10% Ownership)
Schedule A -2 ❑ Yes - schedule attached
Investments (Greaterthan toss ownership)
Schedule B ❑ Yes - schedule attached
Real Property
Schedule C ® Yes - schedule attached
Income & Business Positions liscone Other than Loans, Gilts, and Travel)
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
Total number of pages (including this cover page): 2
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.
Executed on
(month, day, year)
SIGNATURE
(File th originally signed statement with your filing officer.)
FPPC Form 700 (1999/2000)
For Technical Assistance: 916/322 -5660
Schedule A -1
Investments
Stocks, Bonds, and Other Interests
(Ownership Interest is Less Than 10 %)
> NAME OF BUSINESS ENTITY
> NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
GENERAL DESCRIPTION OF BUSINESS. ACTIVITY
FAIR MARKET VALUE
FAIR MARKET VALUE
❑ $1,000 - $10,000
❑ $1,000 - $10,000
❑ $10,001 - $100,000
❑ $10,001 - $100,000
❑ Over $100,000
❑ Over $100,000
NATURE OF INVESTMENT
NATURE OF INVESTMENT
❑ Stack
❑ Stock
❑ Other
❑ Other -
(Describe)
(Describe)
IF APPLICABLE, LIST DATE:
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
ACQUIRED DISPOSED
> NAME OF BUSINESS ENTITY
> NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $1,000 - $10,000
❑ $10,001 - $100,000
❑ Over $100,000
NATURE OF INVESTMENT
❑ Stock
❑ Other
(Desmbe)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
> NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $1,000 - $10,000
❑ $10,001 - $100,000
❑ Over $100,000
NATURE OF INVESTMENT
❑ Stock
❑ Other
(Desmbe)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
Comments:
FAIR MARKET VALUE
❑ $1,000 - $10,000
❑ $10,001 - $100,000
❑ Over $100,000 _
NATURE OF INVESTMENT
❑ Stock
❑ Other
(Describe)
IF APPLICABLE, LIST DATE:
--j—/ -- j--j --L 9 -
ACQUIRED DISPOSED
> NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $1,000 $10,000
❑ $10,001 - $100,000
❑ Over $100,000
NATURE OF INVESTMENT
❑ Stock
❑ Other
(Describe)
IF APPLICABLE, LIST DATE:
--J--J --i—J 99
ACQUIRED DISPOSED
FPPC Form 700 (199912000) Sch. A -1
Schedule A -2
Investments, Income, and Assets
of
Business Entities/Trusts
(Ownership Interest is 10% or Greater)
Name
Check one ❑ Trust, go tv 2 ❑ Business Entity, complete the box, then go to 2
DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE IF APPLICABLE, LIST DATE: -
$1,000 - $10,000
❑ $10,001 - $100.000 J—j
❑ Over $700,000 ACQUIRED DISPOSED
NATURE OF INVESTMENT
❑ Sole Proprietorship ❑ Partnership
YOUR BUSINESS POSITION
❑ $0 - $249 ❑ $250 - $1,000 ❑ $1,001 - $10,000 ❑ OVER $10,000
Check one box:
❑ INVESTMENT ❑ REAL PROPERTY
Name of Business Entity ar
Street Address or Assessors Parcel Number of Real Property
Description of Business Activity or
City or Other Precise Location of Real Property
FAIR MARKET VALUE
❑ $1,000 - $10,000
❑ $10,001 - $100,000
❑ Over $100,000
NATURE OF INTEREST
❑ Property Ownership /Deed of Trust
❑ Leasehold
Yrs. remaining
❑ Other
❑ Other
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
❑ Stock ❑ Partnership
Check one box:
❑ INVESTMENT ❑ REAL PROPERTY
Name of Business Entity or
Street Address or Assessors Parcel Number of Real Property
Description of Business Activity or
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $1,000 - $10,000
❑ $10,001 - $100,000 — 99
❑ Over $100,000 ACQUIRED DISPOSED
NATURE OF INTEREST
❑ Property Ownership /Deed of Trust ❑ Stock ❑ Partnership
❑ Leasehold
Yrs. remaining
❑ Other
Check one box:
❑ INVESTMENT ❑ REAL PROPERTY
Name of Business Entity or
Street Address or Assessors Parcel Number of Real Property
Description of Business Activity or
City or Other Precise Location of Real Property
FAIR MARKET VALUE
❑ $1,000 - $10,000
❑ $10,001 - $100,000
❑ Over $100,000
NATURE OF INTEREST
❑ Property Ownership /Deed of Trust
IF APPLICABLE, LIST DATE:
99 99
ACQUIRED DISPOSED
❑ Stock ❑ Partnership
❑ Leasehold
Yrs. remaining
❑ Othel
FPPC Form 700 (199912000) Sch. A -2
Schedule B
Interests in Real Property
OR PRECISE LOCATION
CITY
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑
$1,000-$10000 ,
/ 99
�� 99
❑
--J
$10,001 - $ 100,000 ACQUIRED
DISPOSED
❑
Over $100,000
NATURE OF INTEREST
OF INTEREST
❑
Rental Property ❑ Ownership /Deed of Trust
❑ Easement
❑
Leasehold ❑
Leasehold ❑
Yrs. remaining
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $249 ❑ $250 - $1,000 ❑ $1,001 - $10,000 ❑ Over $10,000
SOURCES OF RENTAL INCOME: If you own 10% or greater interest,
see the instructions for reporting sources of rental income.
NAME OF LENDER
ADDRESS
BUSINESS ACTIVITY OF LENDER
❑ Financial Institution
) Other
INTEREST RATE TERM (Months /Years)
❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $250 - $1,000 ❑ $1,001 - $10,000 ❑ Over $10,000
❑ Guarantor, if applicable
Check below if another loan is disclosed on Schedule D.
❑ Additional loan - refer to Sch. D.
Comments:
ADDRESS OR PRECISE LOCATION
CITY
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑
$1,900 - $10,000 —J� 99
�� 99
❑
$10,001 - $100,000 ACQUIRED
DISPOSED
❑
Over $100,000
NATURE
OF INTEREST
❑
Rental Properly ❑ Ownership /Deed of Trust
❑ Easement
❑
Leasehold ❑
Yrs. remaining
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $249 ❑ $250 - $1,000 ❑ $1,001 - $10,000 ❑ Over $10,000
SOURCES OF RENTAL INCOME: If you own a 10% or greater interest,
see the instructions for reporting sources of rental income.
NAME OF LENDER
ADDRESS
BUSINESS ACTIVITY OF LENDER
❑ Financial Institution
11 nther
INTEREST RATE TERM (MonlhsNears)
% ❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $250 - $1,000 ❑ $1,001 - $10,000 ❑ Over $10,000
❑ Guarantor, if applicable
Check below if another loan is disclosed on Schedule D.
❑ Additional loan — refer to Sch. D.
FPPC Form 700 (1999/2000) Sch. B
For Technical Assistance: 9161322 -5660
Schedule C
Income & Business Positions
(Income Other than Loans, Gifts, and
Travel Payments)
> NAME OF SOURCE
JIM GUERRA
ADDRESS 13191 CROSSROADS PKWY. INDUSTRY CA
91746 -3497
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
CONSULTING BUILDING OFFICAI
GROSS INCOME RECEIVED
❑ $250 - $1,000 [1 $1,001 - $10,000 ❑ Over $10,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
® Salary ❑ Spouse's income ❑ Loan repayment
❑ Sale of
(Property, car, boat, etc)
❑ Commission or ❑ Rental Income, net each source of 510,000 or more
❑ Other
(Describe)
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $250 - $1,000 ❑ $1,001 - $10,000 ❑ Over $10,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's income ❑ Loan repayment
❑ Sale of
(Properly, car, boat, etc.)
❑ Commission or ❑ Rental Income, list each source of $10,000 or more
❑ Other
(Describe)
Comments:
Name
JIM GUERRA
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $250 - $1,000 ❑ $1,001 - $10,000 ❑ Over $10,000
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 more
❑ Other
( Descnbe)
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $250 - $1,000 ❑ $1,001 - $10,000 ❑ Over $10,000
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 more
❑ Other
( Descnbe)
FPPC Form 700 (199912000) Sch. C
For Technical Assistance: 9161322.5660
Schedule D
Income — Loans
(Received or Outstanding)
NAME OF LENDER
ADDRESS
BUSINESS ACTIVITY OF LENDER
❑ Financial Institution
❑ Other
INTEREST RATE TERM (Months/Years)
❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $250 - $1,000 ❑ $1,001 - $10,000 ❑ Over $10,000
SECURITY FOR LOAN
❑ None ❑ Automobile ❑ Personal residence
❑ Real Property
Sfreef address
❑ Guarantor
❑ Other
NAME OF LENDER
ADDRESS
BUSINESS ACTIVITY OF LENDER
❑ Financial Institution
F nth.,
INTEREST RATE TERM (Months/Years)
% ❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $250 - $1,000 ❑ $1,001 - $10,000 ❑ Over $10,000
SECURITY FOR LOAN
❑ None ❑ Automobile ❑ Personal residence
❑ Real Properly
❑ Guarantor
❑ Other _
(Oescnbe)
Comments: _
NAME OF LENDER
ADDRESS
BUSINESS ACTIVITY OF LENDER
❑ Financial Institution
n
INTEREST RATE TERM (Months /Years)
❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $250 - $1,000 ❑ $1,001 - $10,000 ❑ Over $10,000
SECURITY FOR LOAN
❑ None ❑ Automobile ❑ Personal residence
❑ Real Property
❑ Guarantor
❑ Other _
1 NAME OF LENDER
ADDRESS
BUSINESS ACTIVITY OF LENDER
❑ Financial Institution
❑ Other
INTEREST RATE TERM (Months /Years)
❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $250 - $1,000 ❑ $1,001 - $10,000 _❑ Over $10,000
SECURITY FOR LOAN
❑ None ❑ Automobile ❑ Personal residence
❑ Real Property Street addm s
❑ Guarantor
❑ Other
FPPC Form 700 (199912000) Sch. D
For Technical Assistance: 916/322 -5660
Schedule E
> NAME OF SOURCE
Income — Gifts
> N AM OURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DESCRIPTION OF GIFT(S) VALUE DATE
$ ��—
S ��—
$ ��—
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DESCRIPTION OF GIFT(S) VALUE DATE
$ --J --J—
$ — / —_ /—
$ --J --J—
>' NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DESCRIPTION OF GIFT(S) VALUE DATE
$ ��—
$ --J--J
Comments-
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DESCRIPTION OF GIFT(S) VALUE DATE
$ --J --J—
$ --J --J—
$ --J --J—
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DESCRIPTION OF GIFT(S) VALUE DATE
$ --J --J—
$ ��—
$ — /�—
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DESCRIPTION OF GIFT(S) VALUE DATE
$ --J --J—
$ --J --J—
$ --J —/—
FPPC Form 700 (199912000) Sch. E
For Technical Assistance: 916/322 -5660
Schedule F
Income — Gifts
Travel Payments, Advances, and
Reimbursements
*NAME OF SOURCE
ADDRESS
CITY AND STATE
BUSINESS ACTIVITY, IF ANY, OF SOURCE
TYPE OF PAYMENT: (check one)
❑ Gift ❑ Income
AMT: $ DATE(S):
(if applicable)
DESCRIPTION:
*NAME OF SOURCE
ADDRESS
CITY AND STATE
BUSINESS ACTIVITY, IF ANY, OF SOURCE
TYPE OF PAYMENT: (check one)
❑ Gift ❑ Income
AMT: $ DATE(S):
(if applicable)
DESCRIPTION:
* NAME OF SOURCE
ADDRESS
CITY AND STATE
BUSINESS ACTIVITY, IF ANY, OF SOURCE
TYPE OF PAYMENT: (check one)
❑ Gift ❑ Income
AMT. % DATE(S):
(if applicable)
DESCRIPTION:
Comments:
)-NAME OF SOURCE
ADDRESS
CITY AND STATE
BUSINESS ACTIVITY, IF ANY, OF SOURCE
TYPE OF PAYMENT: (check one)
❑ Gift ❑ Income
AMT: $ DATE(S).
(Ifapplicable)
DESCRIPTION:
)-NAME OF SOURCE
ADDRESS
CITY AND STATE
BUSINESS ACTIVITY, IF ANY, OF SOURCE
TYPE OF PAYMENT: (check one)
❑ Gift ❑ Income
AMT: $ DATE(S): J--J—
(Ifapplicable)
DESCRIPTION:
*NAME OF SOURCE
ADDRESS
CITY AND STATE
BUSINESS ACTIVITY, IF ANY, OF SOURCE
TYPE OF PAYMENT: (check one)
❑ Gift ❑ Income
AMT: $ DATE(S):
( Ilapplicable)
DESCRIPTION:
FPPC Form 700 (1999/2000) Sch. F
For Technical Assistance: 9161322 -5660