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James Guerra
r STATEMENT OF ECONOMIC I COVER PAGE off ial Wv Onry MAR 2 0 2013 Please type or print in ink. NAME OF FILER (LAST) (FIRST) BY (MIDDLE) GUERRA J AMES 1. Office, Agency, or Court Agency Name CITY OF ROSEMEAD Division, Board, Department, District, if applicable Your Position CONSULTANT ► If fling for multiple positions, list below or on an attachment. Agency: Position: 2. Jurisdiction Of Office (Check at least one box) ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi- County ❑ County of © City of ROSEMEAD ❑ Other 3. Type of Statement (Check at least one box) ' FA Annual: The period covered is January 1, 2012, through ❑ Leaving Office: Date Left December 31, 2012. (Check one) -or- The period covered is — / —J through O The period covered is January 1, 2012, through the date of December 31, 2012. leaving office. ❑ Assuming office: Date assumed JJ O The period covered is J , through the date of leaving office. ❑ Candidate: Election year and office sought, if different than Part 1: 4. Schedule Summary Check applicable schedules or "None." ► Total number of pages including this cover page: 2 ❑ Schedule A -1 - Investments - schedule attached Z Schedule C - Income, Loans, & Business Positions - schedule attached ❑ Schedule A -2 - Investments - schedule attached ❑ Schedule D - Income - Gifts - schedule attached ❑ Schedule B - Real Property - schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached -or- None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Busmen orAgentyAdaren Recommended Public Dommenp 13191 CROSSROADS PKWY. NORTH #4 CITY OF INDUSTRY CA 91746 DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS (OPTIONAL) ( 562 ) 908 -6289 jguerra @willdan.com Date Signed 03/14/2013 (monm, day year) Signature official.) 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 acknowledge this is a public document. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. FPPC Form 700 (201212013) FPPC Advice Email: adviceOfppc.ca.gov Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov 0 SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME JAMES M. GUERRA- WILLDAN ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable) 13191 Crossroads Pky. N. #405 Industry, CA 91746 BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION YOUR BUSINESS POSITION GROSS INCOME RECEIVED GROSS INCOME RECEIVED ❑ $500 - $1,000 Z $1,001 - $10,000 ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary ❑ Spouse's or registered domestic partner's income ❑ Salary ❑ Spouse's or registered domestic partner's income ❑ Loan repayment ❑ Partnership ❑ Loan repayment ❑ Partnership ❑ Sale of E] Sale of Rel m e ( p peM. car, boat alit) (Real property tali, boa(, 61c.) ❑ Commission or ❑ Rental Income, list each source of $10," w more ❑ Commission or ❑ Rental Income, list each sou¢e of $to." or more ❑ Other ❑ Other (Describe) (Describe) 2. LOANS e OR OUTSTANDING DURING THE REPORTING ae 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' INTEREST RATE TERM (Months/Years) % E] None ADDRESS (Business Adtlress Acceptable) SECURITY FOR LOAN BUSINESS ACTIVITY, IF ANY, OF LENDER ❑ None ❑ Personal residence ❑ Real Property HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 Street address COY ❑ Guarantor ❑ Other (Describe) Comments: FPPC Form 700 (201212013) Sch. C FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline :866 /275 -3772 www.fppc.ca.gov