700 Ayon 2021RECEIVED 0f0
STATEMENT OF ECONOMIC INTE
COVER PAGE
A PUBLIC DOCUMENT
Please type or print in ink.
CITY OF LA QUINTA
ITY CLERK DEPARTMENT
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Ayon Ubaldo
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of La Quinta
Division, Board, Department, District, if applicable Your Position
Public Works/Engineering Assistant Construction Manager
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Multi -County
❑1■ City of La Quinta
3. Type of Statement (Check at least one box)
Ll Annual: The period covered is January 1, 2021, through
December 31, 2021.
.or -
The period covered is I I through
December 31, 2021.
❑ Assuming Office: Date assumed
❑ Candidate: Date of Election
Position:
❑ Judge, Retired Judge, Pro Tem Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ County of
❑ Other
❑ Leaving Office: Date Left .1 1
(Check one circle.)
❑ The period covered is January 1, 2021, through the date of
leaving office.
.or -
The period covered is I I through
the date of leaving office.
and office sought, if different than Part 1: _
Schedule Summary (must complete) P. Total number of pages including this cover page: 1
Schedules attached
❑ Schedule A-1 - Investments — schedule attached
❑ Schedule A-2 - Investments — schedule attached
❑ Schedule B - Real Property — schedule attached
-or- 0 None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET
(Business or Agency Address Recommended - Public Document)
78495 Calle Tampico
DAYTIME TELEPHONE NUMBER
( 760 ) 777-7051
❑ Schedule C - Income, Loans, & Business Positions — schedule attached
❑ Schedule D - Income — Gifts — schedule attached
❑ Schedule E - Income — Gifts — Travel Payments — schedule attached
CITY STATE ZIP CODE
La Quinta CA 92253
EMAIL ADDRESS
uayon@laquintaca.gov
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 is true and correct.
Date Signed 1 /25/2022 Signature
(month, day, year —-(Filethe[uigmaVymrradPape, sil—fvAhyvr aing .el,) —
Form 700 -Cover Page (2021/2022)
advice@fppc.ca.gov - 866-275-3772 - www.fppc.ca.gov
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