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David J. Powers & Associates - Annual 2012STATEMENT OF ECONOMIC INTERESTS COVER PAGE Please type or print in ink. D�ste R dived NAME OF FILER (LAST) (FIRST) (MIDDLE) Schwarz John Henry 1. Office, Agency, or Court Agency Name C f kst O (-Alm _ I,t.��` David J. Powers & As ociates, Inc. Division, Board, Department, District, if applicable v--,I . _ t _ ► If filing for multiple positions, list below or on an attachment. Agency: 2. Jurisdiction of Office (Check at feast one box) Your Position ncipal Project ManagerNice President Position: ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi- County © City of Gilroy ❑ County of ❑ Other 3. Type of Statement (Check at feast one box) © Annual: The period covered is January 1, 2012, through ❑ Leaving Office: Date Left _J —J December 31, 2012. -or- The period covered is --_J through December 31, 2012. ❑ Assuming Office: Date assumed —J-1 ❑ Candidate: Election year (Check one) p The period covered is January 1, 2012, through the date of leaving office. p The period covered is _J� through the date of leaving office. and office sought, if different than Part 1: 4. Schedule Summary 5 Check applicable schedules or "None." ► Total number of pages including this cover page: © Schedule A -1 - Investments - schedule attached ❑ Schedule C - Income, Loans, & Business Positions - schedule attached 0 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 (Business or Agency Address Recommended - Public Document) San Jose CA 95126 DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS (OP I IONAL) ( 408 ) 454 -3425 jschwarz@davidjpowers.com 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 Date Signed 03/14/2013 Signature (month, day year) (File the originally signed ment with your (ling official.) FPPC Form 700 (2012/2013) FPPC Advice Email: advice9fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc,ca.gov SCHEDULE A -1 Investments Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10 %) Do not attach brokerage or financial statements. ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY 0 - .nrr�C�7St/ FAIR MARKET VALUE ❑ $2.000 - $10,000 ❑ $10,001 - $100,000 100,001 - $1,000,000 ❑ Over $1,000,000 NAT RE OF INVESTMENT Stock ❑ Other (Describe..) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 12 _/ 1 12 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY o e see. GENERAL DE CRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 (ei00,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT V❑"Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 12 12 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY SYi'�LLf" art' -e_ G►'p . GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 WNATU E OF INVESTMENT tock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 12 1 12 ACQUIRED DISPOSED Comments: CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION ► NAME OF BUSINESS ENTITY z4yb4 o /J' . '�p14°0 GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 V$10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NAT RE OF INVESTMENT [� Shock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 1 12 1 1 12 ACQUIRED DISPOSED P. NAME OF BUSINESS ENTITY GENERAL DES RIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 Ge$10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ over $1,000,000 NATO E OF INVESTMENT Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 12 _J 1 12 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY C�✓�J/ / � =i /ice► / FAIR MARKET VALUE ❑ $2,000 - $10.000 Y50701001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NAT E OF INVESTMENT Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 12 —J 12 ACQUIRED DISPOSED FPPC Form 700 (2012/2013) Sch. A -1 FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 8661275 -3772 vvww.fppc.ca.gov SCHEDULE A -1 CALIFORNIA FORm 700' Investments FAIR POLITICAL PRACIICES COMMISSION — Stocks, Bonds, and Other Interests Name (Ownership Interest is Less Than 10 %) 7)n1y\ Sc h- Do not attach brokerage or financial statements. ► NAME OF BUSINESS ENTITY Hevuhm rte. e,-o� moo. GENERAL DESCRIPTION OF BUSINESS ACTIVITY rec4. _Z�✓esv� FAIR MARKET VALUE ❑ $2,000 - $10,000 10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NAT RE OF INVESTMENT [{Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: __J_J 12 _�� 12 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY & .3 . .5� GENERAL DESCRIPTION OF BUSINES ACTIVITY 600171. 14412"019 FAIR MARKET VALUE ❑ $2,000 - $10,000 2115,10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: / 12 _1 12 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY V-4 /C41 -7 /r1itAlwy GENERAL DESCRIPTION OF BUSINESS ACTIVITY NAT E OF INVESTMENT Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 12 1 12 ACQUIRED DISPOSED Comments: ► NAME OF BUUSINESSS ENTITY r A 1". / /# wn GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 le$10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1.000,000 �NAT RE OF INVESTMENT tock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: —J_ / 12 / 12 ACQUIRED DISPOSED ► NAME OF USINESS ENTITY X :y1y7ile— Ste. GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 T11170,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NAT E OF INVESTMENT Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: _l— / 12 /___J_12 ACQUIRED DISPOSED ► NAME OF USINESS ENTITY G��sfe, GENERAL DESCRIPTION OF BUSINESS ACTIVITY v e— FAIR MARKET VALUE ❑ $2,000 - $10,000 211510,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ over $1,000,000 [>V]� NAT RE OF INVESTMENT stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: / 12 _ /__J 12 ACQUIRED DISPOSED FPPC Form 700 (2012/2013) Sch. A -1 FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866 1275 -3772 www.fppc,ca.gov FAIR MARKET VALUE ❑ $2,000 - $10,000 110,001 - $10b,000 ❑ $100,001 - $1,o00,000 ❑ Over $1,000,000 NAT E OF INVESTMENT Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 12 1 12 ACQUIRED DISPOSED Comments: ► NAME OF BUUSINESSS ENTITY r A 1". / /# wn GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 le$10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1.000,000 �NAT RE OF INVESTMENT tock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: —J_ / 12 / 12 ACQUIRED DISPOSED ► NAME OF USINESS ENTITY X :y1y7ile— Ste. GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 T11170,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NAT E OF INVESTMENT Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: _l— / 12 /___J_12 ACQUIRED DISPOSED ► NAME OF USINESS ENTITY G��sfe, GENERAL DESCRIPTION OF BUSINESS ACTIVITY v e— FAIR MARKET VALUE ❑ $2,000 - $10,000 211510,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ over $1,000,000 [>V]� NAT RE OF INVESTMENT stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: / 12 _ /__J 12 ACQUIRED DISPOSED FPPC Form 700 (2012/2013) Sch. A -1 FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866 1275 -3772 www.fppc,ca.gov SCHEDULE A -1 Investments Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10 %) Do not attach brokerage or financial statements. ► NAME OF BUSINESS ENTITY G✓%li'J%!q Pk_.,* Co. GENERAL DESCRIPUA OF BUSINESS ACTIVITY elm FAIR MARKET VALU ❑ $2,000 - $10,000 215,10.001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT Stock ❑ Other (Describe.) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: / 12 —J� 12 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY C,.s" GENERAL DESCRIPTIO OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ over $1,000,000 NAT RE. OF INVESTMENT NAT ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: / 12 �_J 12 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY /�laicg/ /Ph�cri�! FAIR MARKET VALUE 2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ over $1,0o0,000 NAT RE OF INVESTMENT [Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: l / 12 —J —J 12 ACQUIRED DISPOSED Comments: CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION ► NAME OF BUSINESS ENTITY 9jt�D� / /'rr GENERAL DESCRIPTION OF BUSINESS ACTIVITY Co�,sfruicfiw� FAIR MARKET VALUE 5?f2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NAT E OF INVESTMENT Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: —J / 12 / 12 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY %clle%ao,� GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET'VALUE ❑ $2,000 - $10,000 5K$10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 sNAT RE OF INVESTMENT tock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: / 12 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 1— 1 12 1 12 ACQUIRED DISPOSED FPPC Form 700 (2012/2013) Sch. A -1 FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 8661275 -3772 www.fppc.ca.gov SCHEDULE A -2 Investments, Income, and Assets of Business Entities /Trusts (Ownership Interest is 10% or Greater) P. 1. BUSINESS ENTITY .- SCS Investments, LLC Name Los Gatos, CA 95032 Address (Business Address Acceptable) Check one ❑ Trust, go to 2 91 Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF BUSINESS ACTIVITY Angel Investments FAIR MARKET VALUE IF APPLICABLE, LIST DATE: © $0 - $1,999 ❑ $2,000 - $10,000 12 �-J 12 ❑ $10,001 - $100,000 ACQUIRED DISPOSED ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Partnership ❑ Sole Proprietorship ❑ Other YOUR BUSINESS POSITION Co- Owner /Manager © $0 - $499 ❑ $10,001 - $100,000 ❑ $500 - $1,000 ❑ OVER $100,000 ❑ $1,001 - $10,000 10 3. LIST THE NAME OF ••• TABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE (Attach a separate sheet if necessary.) © None PROPERTY 10. 4. INVESTMENTS AND INTERESTS IN REAL . OR LEASED BY THE BUSINESS ENTITY OR TRUST Check one box: ❑ INVESTMENT ❑ REAL PROPERTY Name of Business Entity, if Investment, or Assessor's Parcel Number or Street Address of Real Property Description of Business Activity 1 City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST ❑ Property Ownership /Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other Yrs. remaining ❑ Check box if additional schedules reporting investments or real property are attached CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION ll� 1. BUSINESS ENTITY OR Address (Business Address Acceptable) Check one ❑ Trust, go to 2 ❑ Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $0 - $1,999 ❑ $2,000 - $10,000 12 -) /12 ❑ $10,001 - $100,000 ACQUIRED DISPOSED ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT rPartnership ❑ Sole Proprietorship ❑ Other U R BUSINESS POSITION ❑ $0 - $499 ❑ $10,001 - $100,000 ❑ $500 - $1,000 ❑ OVER $100,000 ❑ $1,001 - $10,000 10, 3. LIST THE NAME OF ••• TABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE (Attach a separate sheet it necessary.) None PROPERTY 10- 4. INVESTMENTS AND INTERESTS IN REAL • OR LEASED aY THE BUSINESS ENTITY OR TRUST Check one box: ❑ INVESTMENT ❑ REAL PROPERTY Name of Business Entity, if Investment, g[ Assessor's Parcel Number or Street Address of Real Property Description of Business Activity or City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 12 /12 ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST ❑ Property Ownership /Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other Yrs. remaining ❑ Check box if additional schedules reporting investments or real property are attached FPPC Form 700 (2012/2013) Sch. A -2 Comments: FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www,fppc,ca.gov