HomeMy WebLinkAboutDull, Nathan - Affidavit of Candidacy Office of the Minnesota Secretary of State Filing#
AFFIDAVIT OF CANDIDACY Cash/Check#
Instructions a S cc,Amount$
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.204B.03)
Candidate Information
Name and Office
Candidate Name(((as it will appear on the ballot)
Office Sought ? h w( -o fll�& �Jkl"� District#
For Partisan Office,Provide Political Party or Principle
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. � L
Street Address li2-L� Te LJ' 411 e„1 '�` �y 2 c)---
City )-W�Lvr c- State'MIJV ,Zip Code ))7 3 7y
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❑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 L �� C,
City 5�La V e,c- n l State All?Nj Zip Code
Website Vv'�11'1 `) •(�c[l iL�v� ��� lV .C"f�� Email (C)'t LC(/}�
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.2046.06,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 h ve not been convicted of an offense for which registration is required under Minn.Stat.243.166.
• County,Municipal,Sc ist ct,or Special District Mice-I yeet any other qualifications for that office prescribed by law.
Candidate Si 4ture Date
Sub ribe d sw f�re met is day of f 20
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X. -. Lori J.Hensen
ary public or r officer empowered to take and certify acknowledgement otar stOTA Y PUBLIC
y WRkESOTA
White Copy—Filing Officer Yellow Copy—CFPD Board Pink Copy—Public Information Goldenrod CopY—Ca Yn! 31,2027
�!r'��115-�res ,all.
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 `i Candidate report Period of time covered by report:
report Campaign committee report
Association or corporation report 01/21/2023 03/31/2023
Final report from to
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
0 or occupation if self-employed,amount and date for these contributions.
W CASH $ S500 TOTAL CASH-ON-HAND $ S119.33
IN-KIND + $ S0
TOTAL AMOUNT RECEIVED = S500
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
TOTAL
z
Q 03/31/2023
I certify that this is a full and true statement.
v Signature Date
contactCLnathandullmn.com
(U Printed Name Nathan Dull Telephone 612.965.1291 Email (if available)
o Address 2225 Jeffery Allen Drive #202, Shakopee, MN 55379
LL
0
Nathan Dull for Shakopee
Disbursements
for the period 0112112023-0313112023
Date: Purpose: Amount:
23-Jan-23 MN Secretary of State RV List $30.00
24-Jan-23 HomeTown Bank check expense $13.11
31-Jan-23 City of Shakopee Filing Fee $5.00
2-Feb-23 Payment Processor Fee $1.75
6-Feb-23 Rider signs expense (PAC USA) $190.77
7-Feb-23 Payment Processor Fee $3.20
9-Feb-23 Website & Email expense $32.00
18-Feb-23 Payment Processor Fee $1.75
25-Feb-23 Campaign Verify $95.00
25-Feb-23 RoboCent $535.20
28-Feb-23 Meta Ads (2/14-2/28) $123.53
9-Mar-23 Website & Email expense $32.00
10-Mar-23 Payment Processor Fee $3.20
15-Mar-23 Postage $63.00
31-Mar-23 Meta Ads (3/1-3/31) $304.84
Total Disbursements Covered by Report $1,434.35
Nathan Dull for Shakopee
Itemized Contributor Addendum
For the period 0112312023-0313112023
Name: Name:
Dr. Clayton Wagner Dr. James Dulaney
Address: Address:
23895 Stoppelmann Blvd 1884 Greenway Ave
Belle Plaine, MN 56011 Shakopee, MN 55379
Occupation: Employer:
Family Doctor Seagate
Contributions Received YTD: Contributions Received YTD:
$200.00 $200.00
Contributions Received Date: Contributions Received Date:
02/04/2023 01/08/2023
02/07/2023
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 04/01/2023 04/12/2023
from to
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.
CASH $ S0 TOTAL CASH-ON-HAND $ S 1.44
IN-KIND + $ S32.00
TOTAL AMOUNT RECEIVED =
$ 532.00
DISBURSEMENTS
Include the amount, date and purpose for all disbursements made during the period of time covered by report.
A-Z, Attach additional sheets if necessary.
Date Purpose Amount
04/12/2023 Meta Ads (04/01-04/11) S 117.89
v
V_
O
TOTAL S117.89
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
TOTAL
z
oI certify that this is a full and true statement. 04/12/2023
v Signature Date..
Printed Name Nathan Dull Telephone 612.965.1291 Email (if available)tCc nathandullmn.com
o Address 2225 Jeffery Allen Drive #202, Shakopee, MN 55379
0
W_
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 01/21/2023 03/31/2023
Final report from to
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
0 or occupation if self-employed,amount and date for these contributions.
aj
CASH $ S500 TOTAL CASH-ON-HAND $ S 119.33
IN-KIND + $ S0
TOTAL AMOUNT RECEIVED = $ S500
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 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
M TOTAL
z
o I certify that this is a full and true statement. 03/31/2023
v Signature Date
contactCa nathandullmn.com
Cu Printed Name Nathan Dull Telephone 612.965.1291 Email (if available)
o Address 2225 Jeffery Allen Drive #202, Shakopee, MN 55379
L
0
u_
Nathan Dull for Shakopee
Disbursements
for the period 0112112023-0313112023
Date: Purpose: Amount:
23-Jan-23 MN Secretary of State RV List $30.00
24-Jan-23 HomeTown Bank check expense $13.11
31-Jan-23 City of Shakopee Filing Fee $5.00
2-Feb-23 Payment Processor Fee $1.75
6-Feb-23 Rider signs expense (PAC USA) $190.77
7-Feb-23 Payment Processor Fee $3.20
9-Feb-23 Website & Email expense $32.00
18-Feb-23 Payment Processor Fee $1.75
25-Feb-23 Campaign Verify $95.00
25-Feb-23 RoboCent $535.20
2 -F -2 Meta Ads 2 14-2 28 123.53 8 eb 3 ( / / ) $
9-Mar-23 Website & Email expense $32.00
10-Mar-23 Payment Processor Fee $3.20
15-Mar-23 Postage $63.00
31-Mar-23 Meta Ads (3/1-3/31) $304.84
Total Disbursements Covered by Report $1,434.35
Nathan Dull for Shakopee
Itemized Contributor Addendum
For the period 0112312023-0313112023
Name: Name:
Dr. Clayton Wagner Dr. James DuLaney
Address: Address:
23895 Stoppelmann Blvd 1884 Greenway Ave
Belle Plaine, MN 56011 Shakopee, MN 55379
Occupation: Employer:
Family Doctor Seagate
Contributions Received YTD: Contributions Received YTD:
$200.00 $200.00
Contributions Received Date: Contributions Received Date:
02/04/2023 01/08/2023
02/07/2023
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 04/01/2023 04/12/2023
from to
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.
W CASH $ SO TOTAL CASH-ON-HAND $ S1.44
IN-KIND + $ S32.00
TOTAL AMOUNT RECEIVED -
$ 532.00
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
04/12/2023 Meta Ads (04/01-04/11) S117.89
0
TOTAL S117.89
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
ru TOTAL
z
oI certify that this is a full and true statement. 04/12/2023
a Signature Date
o
QJ Printed Name Nathan Dull Telephone 612.965.1291 Email (if avaiilabejt�cr nathandullmn.com
o Address 2225 Jeffery Allen Drive #202, Shakopee, MN 55379
0