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David J. Powers & Associates - Annual 2002 STREET CITY J ZIP CODE CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION STATEMENT OF ECONOMIC INTERESTS COVER PAGE Please type or print in ink A Public Document NAME (LAST) (FIRST) (MIDDLE) POWERS MAILING ADDRESS (May be business address) DAVID SAN JOSE CA 95126 1. Office, Agency or Court Name: 4. Schedule Summary (Check applicable schedules or "No reportable interests. ") DAVID J. POWERS & ASSOCIATES, INC. Division, Board, District, if applicable: - 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) Position: PRESIDENT Schedule A-2 0 Yes - schedule attached Investments (10% or greater Ownership) _ If filing for multiple positions, list additional agency(ies)/ position(s): (Attach a separate sheet if necessary.) Schedule B Real Property DYes - schedule attached Agency: Schedule C 0 Yes - schedule attached Income & Business Positions (Income Other than Loans. Gifts. and Travel) Position: Schedule D 0 Yes - schedule attached Income - Loans 2. Jurisdiction of Office (Check at least one box) o State o County of Schedule E 0 Yes - schedule attached Income - Gifts I!J City of GILROY Schedule F 0 Yes - schedule attached Income - Travel Payments o Multi-County o Other -or- _ ~ No reportable interests on any schedule 3. Type of Statement (Check at least one box) Date: ---1---1_ Total number of Rages completed including this 1 cover page: o Assuming Office/Initial G9 Annual: The period covered is January 1, 2002, through December 31, 2002. -or- 5. Verification a The period covered is ---1---1_, through December 31, 2002. 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. o Leaving Office Date Left: ---1---1_ (Check one) a The period covered is January 1, 2002, through the date of leaving office. -or- a The period covered is ---1---1_, through the date of leaving office. o Candidate FPPC Form 700 (200212003) FPPC Toll-Free Helpline: 866/ASK-FPPC