James Guerra RECEIVED
CITY or POSFMFAD
Date Initial FIM1r,,. liecened
CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS -° '--
PAIRRa COMMISSION
A PUBLIC DOCUMENT COVER PAGE CITY CLEWS OFFICE
POLITICAL
Please type or print in ink. BY.
NAME OF FILER LAST) - J^ (FIRST),..4 (MIDDLE)
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
Cr7y of /dos c/-.tc-,^-1/4 Ca,-JS✓cfl'- C3✓r L...S,'-c a (-A ta4
Division, Board, Department District, if applicable Your Position
• If filing for multiple positions,list below or on an attachment. (Do not use acronyms)
Agency. Position'.
2. Jurisdiction of Office (Check at least one box)
❑State E Judge or Court Commissioner(Statewide Jurisdiction)
❑Multi-County D County of
2tity of ASE-r-r6ii- ❑Other
3. Type of Statement (Check at least one box)
[Annual: The period covered is January 1, 2016, through ❑ Leaving Office: Date Left
December 31,2016. (Check one)
-or-
The O The period covered is January 1, 2016, through the date of
period covered1is J� throughDecemmber 311,! 2016. leaving office.
-0r-
❑ Assuming Office: Date assumed_LEE/ 0 The period covered is . through
the date of leaving office.
O Candidate: Election year and office sought, if different than Part 1:
4. Schedule Summary (must complete) • Total number of pages including this cover page: 2-
Schedules
Schedules attached �{{
• Schedule A•1 -Investments-schedule attached [ hedule C-Income, Loans. &Business Positions-schedule attached
❑ Schedule A-2-Investments-schedule attached ❑Schedule D-Income-Gifts-schedule attached
❑ Schedule B-Real Properly-schedule attached ❑Schedule E-Income- Gids-Travel Payments-schedule attached
-or-
❑ None- No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Busmazs ay�A9aryCyy Amless Femmm -Pob c Docu^ryny /J /^ /�r�7
U."'.a. e. /}L'A'-I /.3.,.^f /�uSI�cLTO L..-1 q 0
DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS
aid ) 6,-7 - 3a3Y 4.-an-3.ccfl-
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 going is true and correct.
Date Signed Signature
(month.EaN KA') (FlleO naryYv9Md 9MmimIMTh MLL'Mfg official f
FPPC Form 700(2016/2017)
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov
SCHEDULE C CALIFORNIA FORM 700
Income, Loans, & Business FAIR POLITIC AL PRACTICES COMMISSION
Positions Name
(Other than Grfts and Travel Payments) ?AMPS Gc erCo
F. 1.INCOME RECEIVED F 1.INCOME RECEIVED
NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME
C1717 orc
ADDRESS(Business Address Acceptable) ADDRESS(Business Address Acceptable)
Cle-i54/LTi 0—(V
BUSINESS ACTIVITY IF ANY,OF
SOURCE BUSINESS ACTIVITY IF ANY.OF SOURCE
YOUR BUSINESS POSITION / YOUR BUSINESS POSITION
Cpc,S✓c v—<. 8.4L2.1 e..t Or--74 L..
GROSS INCOME RECEIVED 0 No Income-Business Position Only GROSS INCOME RECEIVED 0 No Income-Business POSE=Only
0$500-$1000 %stool-s10.000 ❑ $500-$1,000 ❑ $1001-$10,000
❑s10.001 -$100000 ❑OVER$100000 ❑ $10.001 -$100000 0 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 ❑Spouses or registered domestic partners Income
(For self-employed use Schedule A-2) (For self-employed use Schedule A-2)
0 Parinersmip(Less than 10%ownership.For 10%or greater use ❑Partnership(Less than 10%ownership. For 10%or greater use
Schedule A-2.) Schedule A-2
Sale of (Real
Sale of p,e4'erf Car boal etc)
pial properly car boat etc
▪ Loan repayment ❑ Loan repayment
▪COmmissim or ❑ Rental Income.Iso each source of EIC 000 or more O Commission or E Rental Income.Iixl earn source Or$10.000 or more
(Describe) (Describe)
Other 0 Other
(Descnrcl Pascoe)
e)
* 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)
% [3 None
ADDRESS(Business Address Acceptable)
SECURITY FOR LOAN
BUSINESS ACTIVITY, IF ANY.OF LENDER ❑ None ❑ Personal residence
O Real Property street address
HIGHEST BALANCE DURING REPORTING PERIOD
IL$500-$1.000 Chy
❑$1,001 -$10,000
❑Guarantor
❑$10001 -$100000
OVER 8100000 D Other
(Describe)
Comments:
FPPC Form 700(2016/2017)Sch.C
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov