Rosemary Guerrero - Annual 2012CALIFORNIA •' STATEMENT OF ECONOMIC INTERESTS y
FAIR POLITICAL PRACTICES COMMISSION
DOCUMENT
COVER PAGE
Cr f CLERKS C
Please type or print in ink. r 4
NAME OF FILER (LAST) (FIRST) (MIDDLE) `
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1. Office, Agency, or Court
Agency Name
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Division, Board, Department, District, if applicable
► If filing for multiple positions, list below or on an attachment.
Your Position
Agency: Position:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Iti- County
City of
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❑ Judge or Court Commissioner (Statewide Jurisdiction)
n Cniinty of
❑ Other
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3. Type f Statement (Check at least one box)
Annual: The period covered is January 1, 2012, through ❑ Leaving Office: Date Left
December 31, 2012. (Check one)
-or-
The period covered is I I through O The period covered is January 1, 2012, through the date of
December 31, 2012. leaving office.
❑ Assuming Office: Date assumed I 1 O The period covered is —J I through
the date of leaving office.
❑ Candidate: Election year
4. Schedule Summary
Check applicable schedules or "None."
❑ Schedule A -1 - Investments – schedule attached
❑ Schedule A -2 - Investments – schedule attached
❑ Schedule B - Real Property – schedule attached,
and office sought, if different than Part 1:
► Total number of pages including this cover page:
❑ Schedule C - Income, Loans, & Business Positions – schedule attached
❑ Schedule D - Income – Gifts – schedule attached
❑ Schedule E - Income – Gifts – Travel Payments – schedule attached
-or-
- No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency AdR'os&a Recommended - Public Docu en0
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(AY I IMt 1 tLtF'HUNt NUMBER � — �� � I E -MAIL ADDRESS (OPTIONAL)
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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 foreg 'ng is true and correct.
Date Signed Signature
(mo h, day, ye' ,)I (Fite the origin signed statement w th your Hing official.)
FPPC Form 700 (201212013)
FPPC Advice Email: advicegfppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov