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700 Ayon, Ubaldo 2022STATEMENT OF ECONOMIC INTERESTS COVER PAGE A PUBLIC DOCUMENT Please type or print in ink NAME OF FILER (LAST) (FIRST) Ayon Ubaldo 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of La Quinta Division, Board, Department, District, if applicable Public Works/Engineering (MIDDLE) Your Position Date Initial Filing Received RECEIVED MAR 0 3 2023 4J CITY OF LA QUINTA CITY CLERK DEPARTMENT 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 Position: Judge, Retired Judge, Pro Tern Judge, or Court Commissioner (Statewide Jurisdiction) Multi -County County of n City of La Quinta Other 3. Type of Statement (Check at least one box) ■ Annual: The period covered is January 1, 2022, through Leaving Office: Date Left i. I December 31, 2022. (Check one circle.) -or- The period covered is I I through The period covered is January 1, 2022, through the date of December 31, 2022. -or- leaving office. Assuming Office: Date assumed I — The period covered is I I through the date of leaving office. Candidate: Date of Election and office sought, if different than Part 1 4. Schedule Summary (required) ► Total number of pages including this cover page: 1 Schedules attached Schedule A-1 - Investments — schedule attached Schedule C - Income, Loans, & Business Positions — schedule attached 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) 78495 Calle Tampico La Quinta CA 92253 DAYTIME TELEPHONE NUMBER EMAIL ADDRESS ( 760 ) 777-7051 l 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 3/3/2023 Signature (month, day, year) Digitally signed by Ubaldo Ayon Jr Date: 2023 03 03 14:27:57-08'00' (File the originally signed paper statement with your filing official.) FPPC Form 700 -Cover Page (2022/2023) advice@fppc.ca.gov - 866-275-3772 - www.fppc.ca.gov Page - 5