HomeMy WebLinkAboutNathan Dull ' Filin #
M Office of the Minnesota Secretary of State g
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AFFIDAVIT OF CANDIDACY Cas Check#
• Instructions , ..A Amoun
All information on this form is available to the public.Information provided will be published on the Secretary of State's website.If filing for
partisan office and not a major party candidate,you must file both an affidavit of candidacy and a nominating petition.(Minn.Stat.2046.03)
Candidate Information
Name and Office j�
Candidate Name(as it will appear on the ballot)# /v•ATH41V Lw�,L.
Office SoughtL1 District
For Partisan Office,Provide Political Party or Principle .x
For Judicial Office,Provide Name of Incumbent,
Residence Address
Do not complete if residence address is to be private and checkbox below is marked.All address and contact information is optional for federal,
judicial,county attorney,and county sheriff office candidates.
Street Address ZZZ- t' 2
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City � �{. State Ml Zip Code
❑My residence address is to be classified as private data.I certify a police report has been submitted or I have an order for protection for my
(or my family's)safety,or my address is otherwise private by Minnesota law.I have attached a separate form listing my residence address.
Campaign Address and Contact
Candidate Phone Number(Required)
Campaign Contact Address(Required for those who have checked the box above): ,
Street Address ZZ2S �� � y r Z0
city S �lcc ch� _ State Zip Code ��3
Website /�JatLGth DLL—MN, 'LtVvk Email COrl-YZ4 �l l�o LC►/� L
Affirmation
For all offices,I swear(or affirm)that this is my true name or the name by which I am generally known in the community.
If filing for a state or local office,I also swear(or affirm)that:
• I am eligible to vote in Minnesota;
• I have not filed for the same or any other office at the upcoming primary or general election(except as provided in M.S.204B.06,subd.1(2));
• I am,or will be on assuming office,21 years of age or more;
• I will have maintained residence in this district for at least 30 days before the general election;and
• If a major political party candidate,I either participated in the party's most recent precinct caucuses or intend to vote for a majority of that
party's candidates at the next general election.
If filing for one of the following offices,I also swear(or affirm)that I meet the requirements listed below:
• United States Senator-I will be an inhabitant of this state when elected and I will be at least 30 years old and a citizen of the United States for
not less than nine years on the next January 3rd,or if filled at special election,within 21 days after the election.
• United States Representative-I will be an inhabitant of this state when elected and I will be at least 25 years old and a citizen of the United
States for not less than seven years on the next January 3rd,or if filled at special election,within 21 days after the election.
• Governor or Lieutenant Governor-I will be at least 25 years old on the first Monday of the next January and a resident of Minnesota for not
less than one year on election day.I am filing jointly with
• Supreme Court Justice,Court of Appeals Judge,District Court Judge,or County Attorney-I am learned in the law and licensed to practice law
in Minnesota.My Minnesota attorney license number is and a copy of my license is attached.
• State Senator or State Representative-I will be a resident of Minnesota not less than one year and of this district for six months on the day of
the general or special election.
• County Sheriff-I am a licensed peace officer in Minnesota.My Board of Peace Officer Standards and Training license number is
and a copy of my license is attached.
• School Board Member-I hav of be convicted of an offense for which registration is required under Minn.Stat.243.166.
• County,Municipal,School ' tri Special District Of ce-I t any other qualifications for that office prescribed by law.
i
Candidate Si ture Date V 02 (rte
• S7'bed swor to e r me this day of 2 Lori J.Hensen
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NOTARY P BLIC
Notary p blic or o e icer empowered to take and certify acknowledgement (Not�r ��aWTAWhite Copy—Filing cer Yellow Copy—CFPD Board Pink Copy—Public Information Goldenrod Cop MY Cmn`1140(iiin Jan.31,2027
OFFICE OF THE MINNESOTA SECRETARY OF STATE
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CANDIDATE NAME PRONUNCIATION FORM
Candidate's Name(clearly print): I ala 1 V►OA bo
Office Filed For(clearly print):
Type of District(circle one):
Federal State Judicial County S&WCDCity Township School Hospital Park Other
District District District
District's Name(clearly print):
• Candidate Name's Pronunciation:
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Additional Notes:
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Info of Staff Member completing this form:
Name and Title:
Name of Your Jurisdiction:
Date completed:
Date submitted to County Auditor's Office:
Date submitted to ERS Data-Entry Staff Member:
• Date entered into ERS:
Form updated 5/18/1020
CAMPAIGN FINANCIAL REPORT
(All of the information in this report is public information)
• Name of candidate, committee or corporation Nathan Dull for Shakopee
Office sought or ballot question Shakopee City Council District N/A
Type of Candidate report Period of time covered by report:
report Campaign committee report
Association or corporation report from 7/21/22 to 7/22/22
Final report
CONTRIBUTIONS RECEIVED
Give the total for all contributions received during the period of time covered by this report. Contributions should be listed by type
(money or in-kind) rather than contributor. See note on contribution limits on the back of this form. Use a separate sheet to itemize all
contributions from a single source that exceeded$100 during the calendar year.This itemization must include name,address,employer
Y
o or occupation if self-employed,amount and date for these contributions.
C1
CASH $ $960.00 TOTAL CASH-ON-HAND $ $885.80
IN-KIND + $ 0
TOTAL AMOUNT RECEIVED - $960.00
DISBURSEMENTS
Include the amount,date and purpose for all disbursements made during the period of time covered by report.
Attach additional sheets if necessary.
• Date Purpose Amount
07/21/22 Payment Processor $27.30
v
07/22/22 Website Email Domain $46.90
w
0
TOTAL $74.20
CORPORATE PROJECT EXPENDITURES
Corporations must list any media project or corporate message project for which contribution(s) or expenditures) total
more than $200. Submit a separate report for each project. Attach additional sheets if necessary.
Project title or description
Date Purpose Name and Address Expenditure or
of Recipient Contribution
Amount
v
E TOTAL
Z
Q) I certify that this is a full and true statement. 07/22/2022
_
QJ Signature Date
Printed Name Nathan Dull Telephone 612.965.1291 Email (if av ilab e)t@nathandullmn.com
Address 2225 Jeffery Allen Drive #202, Shakopee, MN 55379
0
Nathan Dull for Shakopee
Itemized Contributor Addendum
For the period 07/21/2022-07/22/2022
Name:
Debjyoti Dwivedy
Address:
9775 Picket Drive
Eden Prairie, MN 55347
Employer:
Federal Reserve Bank
Contributions Received YTD:
$600.00—received 07/21/2022
•
•
CAMPAIGN FINANCIAL REPORT
(All of the information in this report is public information)
Name of candidate, committee or corporation Nathan Dull for Shakopee
Office sought or ballot question Shakopee City Council District N/A
Type of Candidate report Period of time covered by report:
report Campaign committee report
Association or corporation report from 7/23/22 to 10/27/22
Final report
CONTRIBUTIONS RECEIVED
Q Give the total for all contributions received during the period of time covered by this report. Contributions should be listed by type
` (money or in-kind) rather than contributor. See note on contribution limits on the back of this form. Use a separate sheet to itemize all
contributions from a single source that exceeded$100 during the calendar year.This itemization must include name,address,employer
Y
0 or occupation if self-employed,amount and date for these contributions.
CL
CASH $ $1,575.00 TOTAL CASH-ON-HAND $ $1,280.28
IN-KIND + $ $334,06
TOTAL AMOUNT RECEIVED = $ $1,909.06
DISBURSEMENTS
Include the amount,date and purpose for all disbursements made during the period of time covered by report.
Attach additional sheets if necessary.
Date Purpose Amount
See Attached
QJ0
TOTAL
CORPORATE PROJECT EXPENDITURES
Corporations must list any media project or corporate message project for which contribution(s) or expenditure(s) total
more than$200. Submit a separate report for each project. Attach additional sheets if necessary.
Project title or description
Date Purpose Name and Address Expenditure or
of Recipient Contribution
Amount
Q)
z
TOTAL
o I certify that this is a full and true statement. 10/27/2022
v Signature Date
conta
°; Printed Name Nathan Dull Telephone 612.965.1291 Email (if available)ct@nathandullmn.com
o Address 2225 Jeffery Allen Drive #202, Shakopee, MN 55379
LL0
Nathan Dull for Shakopee
Itemized Contributor Addendum
For the period 07/23/2022-10/27/2022
Name: Name:
Nathan Dull Kip Christianson
Address: Address:
2225 Jeffery Allen Drive#202 P.O. Box 326
Shakopee, MN 55379 Monticello, MN 55362
Employer: Employer:
Conservative Energy Network Battle Rapids Strategies
Contributions Received YTD: Contributions Received YTD:
$394.06 $600.00
Contributions Received Date: Contributions Received Date:
07/18/2022—$60.00 10/01/2022
08/01/2022—$334.06 IN KIND
Name:
Emily Novotny
Address:
17355 Fillmore Street NW
Elk River, MN 55330
Employer:
Public Affairs Company
Contributions Received YTD:
$600.00
Contributions Received Date:
09/23/2022
Nathan Dull for Shakopee Expenses
For the period 07/23/2022-10/27/2022
DATE: AMOUNT: PURPOSE
28-Jul-22 $102.63 Office supplies, printing, and postage
1-Aug-22 $562.89 132I3 Strategies Yard Signs
1-Aug-22 $334.06 In kind contribution from Nathan Dull - literature
2-Aug-22 $5.00 City of Shakopee candidate filing fee
2-Aug-22 $100.41 Polos
12-Aug-22 $1.03 Payment Processor Fee
17-Aug-22 $32.00 Website & Email
26-Aug-22 $3.20 Payment Processor Fee
5-Sep-22 $1.03 Payment Processor Fee
7-Sep-22 $47.31 Tap Admittance
8-Sep-22 $1.03 Payment Processor Fee
13-Sep-22 $3.50 Payment Processor Fee
14-Sep-22 $32.00 Website & Email
15-Sep-22 $30.00 Minnesota Secretary of State RV List
23-Sep-22 $17.70 Payment Processor Fee
25-Sep-22 $25.00 Meta Ads (09/20-09/25)
28-Sep-22 $25.00 Meta Ads (09/25-09/28)
1-Oct-22 $17.70 Payment Processor Fee
2-Oct-22 $35.41 Meta Ads (09/28-09/30)
7-Oct-22 $93.68 Meta Ads (09/30-10/07), Google Ads (09/27-09/30)
14-Oct-22 $32.00 Website & Email
17-Oct-22 $12.00 Postage
CAMPAIGN FINANCIAL REPORT
(All of the information in this report is public information)
Name of candidate, committee or corporation Nathan Dull for Shakopee
Office sought or ballot question Shakopee City Council District N/A
Type of Candidate report Period of time covered by report:
report Campaign committee report
Association or corporation report from 10/28/22 to 11/09/22
Final report
VJ
CONTRIBUTIONS RECEIVED
\ Give the total for all contributions received during the period of time covered by this report. Contributions should be listed by type
(money or in-kind) rather than contributor. See note on contribution limits on the back of this form. Use a separate sheet to itemize all
contributions from a single source that exceeded$100 during the calendar year.This itemization must include name,address,employer
o or occupation if self-employed,amount and date for these contributions.
a
CASH $ 0 TOTAL CASH-ON-HAND $ 430.42
IN-KIND + $ 0
TOTAL AMOUNT RECEIVED = 0
DISBURSEMENTS
Include the amount, date and purpose for all disbursements made during the period of time covered by report.
Attach additional sheets if necessary.
c Date PurposeAmount
10/31/2022 Meta Ads (10/07-10/31), water, postage S288.71-
11/01/2022 Google Ads (10/01-10/31) S80.42
11/09/2022 _ Google & Meta Ads(]0/31-11/081 S472.28
0 11/09/2022 Website &_Email _ _ S7.95
TOTAL S849.36
CORPORATE PROJECT EXPENDITURES
Corporations must list any media project or corporate message project for which contribution(s) or expenditure(s) total
more than $200. Submit a separate report for each project. Attach additional sheets if necessary.
Project title or description
Date Purpose Name and Address Expenditure or
of Recipient Contribution
Amount
S�
M TOTAL
Z
Q I certify that this is a full and true statement. 11/09/2022 _
v Signature Date
contact6t nathandullmn.com
QJ Printed Name Nathan Dull Telephone 612.965.1291 Email (if available)
o Address 2225 Jeffery Allen Drive #202, Shakopee, MN 55379
L
0
ti
CAMPAIGN FINANCIAL REPORT
(All of the information in this report is public information)
Name of candidate,committee or corporation Nathan Dull for Shakopee
Office sought or ballot question Shakopee City Council District NSA
Type of Candidate report Period of time covered by report:
report Campaign committee report
Association or corporation report from 1/10/2022 0 01/20/2023
Final report
CONTRIBUTIONS RECEIVED
Give the total for all contributions received during the period of time covered by this report. Contributions should be listed by type
(money or in-kind)rather than contributor. See note on contribution limits on the back of this form. Use a separate sheet to itemize all
contributions from a single source that exceeded$100 during the calendar year.This itemization must include name,address,employer
0 or occupation if self-employed,amount and date for these contributions.
CL
CASH $ S800.00 TOTAL CASH-ON-HAND $ S1,031.76
IN-KIND + $ $0
TOTAL AMOUNT RECEIVED = S800.00
DISBURSEMENTS
Include the amount,date and purpose for all disbursements made during the period of time covered by report.
Attach additional sheets if necessary.
Date Purpose Amount
See attached.
0
TOTAL
CORPORATE PROJECT EXPENDITURES
Corporations must list any media project or corporate message project for which contribution(s) or expenditure(s) total
more than$200. Submit a separate report for each project. Attach additional sheets if necessary.
Project title or description
Date Purpose Name and Address Expenditure or
of Recipient Contribution
Amount
v
M TOTAL
z
o I certify that this is a full and true statement. 49
01/20/2023
a, Signature Date
ta
QJ Printed Name Nathan Dull Telephone 612.965.1291 Email (if avaiii ab e)ct@riatharidullmri.COm
O Address 2225 Jeffery Allen Drive #202, Shakopee, MN 55379
0
Nathan Dull for Shakopee
Disbursements
for the period 11110122-0112012023
Date: Purpose: Amount:
14-Dec-22 Website & Email expense $7.95
8-Jan-23 Payment Processor Fee $3.20
9-Jan-23 Website & Email (prorated), literature expense $135.11
10-Jan-23 Website & Email expense $32.00
18-Jan-23 Payment Processor Fee $3.20
20-Jan-23 Payment Processor Fee $17.70
Total Disbursements Covered by Report $199.16
Nathan Dull for Shakopee
Itemized Contributor Addendum
For the period 1111012022-0112012023
Name:
Sined Manasra
Address:
1701 Gotland Ln
Shakopee, MN 55379
Employer:
Top Star Market
Contributions Received YTD:
$600.00
Contributions Received Date:
01/20/2023