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David J. Powers & Associates - Annual 2001 COVER PAGE STATEMENT OF ECONOMIC INTERESTS A Public Docume11l Please type or print in ink NAME (LAST) (FIRST) POWERS DAVID MAILING ADDRESS ( SAN JOSE, CA 95126 1. Full Name of Office Sought or Held, Agency or Court: DAVID J. POWERS & ASSOCIATES, INC. DivIsion, Board, District, if applicable: Position: PRESIDENT - If filing for multiple positions, list additional agency(ies)/ position(s): (Attach a separate sheet if necessary.) Agency: Position Title: 2. Jurisdiction of Office (Check one box) o State o County of Qg City of GILROY o Multi-County o Other 3. Type of Statement (Check at least one box) o Assuming Office/Initial Date: ---1---1_ I!J Annual: The period covered is January 1. 2001, through December 31. 2001. -or- a The period covered is ---1---1_. through December 31. 2001. o Leaving Office Date Left: ---1---1_ (Check one) a The period covered is January 1. 2001. through the date of leaving office. -or- a The period covered is ---1---1_. through the date of leaving office. o Candidate (MIDDLE) J ZIP CODE 4. Schedule Summary (Check applicable schedules or "No reportable interests.") - During the reporting period. did you have any reportable Interests to disclose on: Schedule A-1 0 Yes - schedule attached Investments (Less than 10% Ownership) Schedule A-2 0 Yes - schedule attached Investments (Greater than 10% Ownership) Schedule B Real Property DYes - schedule attached Schedule C 0 Yes - schedule attached Income & Business Positions (Income Other than Loans. Gifts. and Travet) Schedule D 0 Yes - schedule attached Income - Loans Schedule E 0 Yes - schedule attached Income - Gifts Schedule F 0 Yes - schedule attached Income - Travel Payments -or- _ ~ No reportable interests on any schedule Total number of pages completed including this cover page: ~ 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. Date Signed 3/11/02 .....---'"-_.-,...--~ ) Signatur 866/ASK-FPPC