Lesson Four: Flavored Tobacco, Menthol and E-Cigarettes Lesson Four (PDF) Lesson Four (PPT) Lesson Files Advertisement Worksheet Electronic Cigarette Factsheet Flavored Tobacco Products Factsheet Menthol Factsheet Post Activity Factsheet Surgeon General Warning Labels Top Secret Letter Videos E-Cigarettes in Minnesota The Problem with Flavored Tobacco Menthol Cigarettes 101

TOBACCO 21 The tobacco industry heavily targets teens and young adults to recruit new customers and guarantee profits. About 95 percent of current adults who smoke started before they were 18.¹ A 2015 report from the National Academy of Medicine (formerly the Institute of Medicine) found that increasing the legal age to buy commercial tobacco to 21 would decrease smoking initiation among 15-17 year olds by 25 percent.² A Minnesota-specific study looked at the impact of raising the tobacco age and found that 25% fewer 15 year olds would start smoking by the time they turn 18. This translates into 30,000 young people never starting smoking or using commercial tobacco over 15 years.³ If youth don’t smoke by the time they are 21, they likely never will. Tobacco 21 Fact Sheet Tobacco 21 Fact Sheet Citations Why Tobacco 21 Matters Nicotine is addictive and particularly harmful to the developing adolescent brain. Evidence suggests that nicotine interferes with brain maturation and can have a long term effect on cognitive development and mental health.⁴ The long-term effects of nicotine on the adolescent brain is a significant public health concern.⁵,⁶ Any step to prevent youth from becoming addicted to tobacco products is a step in the right direction, especially in the face of the youth nicotine epidemic. Federal, State, and Local Efforts As of December 2019, 19 states (Arkansas, California, Connecticut, Delaware, Hawaii, Illinois, Maine, Maryland, Massachusetts, New Jersey, New York, Ohio, Oregon, Pennsylvania, Texas, Utah, Vermont, Virginia and Washington) had raised the tobacco age to 21, along with Washington, D.C. and more than 540 localities. On December 20, 2019, former President Trump signed Tobacco 21 into federal law. Raising the national tobacco sales age to 21 is a victory for youth and health, but state and local action is still needed to maximize health benefits. ANSR continues to work with state and local partners to implement this policy and pursue a comprehensive approach to commercial tobacco prevention and cessation here in Minnesota. By May 2020, 75 Minnesota cities and counties had raised the commercial tobacco sales age to 21. This set the stage for the Minnesota State Legislature to pass a Tobacco 21 law in May that ensured all youth in the state are protected. ANSR provided signage to vendors across the state. If you need more signage, please contact us at info@ansrmn.org . Resources for Law Enforcement and Schools Law Enforcement T21 Fast Facts Law Enforcement T21 Resource Support Over Suspension Fact Sheet School Policy Assessment Tools for Schools Toolkit Alternatives to Penalties for Youth Penalties on underage possession, use, and purchase of commercial tobacco have not been proven to reduce commercial tobacco use. The Centers for Disease Control and Prevention (CDC) recommends education, counseling, and support to reduce youth use. Research shows that punitive measures against young people can results in unintentional consequences and increase the likelihood of youth initiation. The community programs for youth listed below are available as alternatives to punitive measures. My Life My Quit Youth ages 13-18 can access free tobacco treatment services through My Life, My Quit (MLMQ) supported by the MN Department of Health. Features include: Free continuing education for school staff on commercial tobacco treatment for youth at CoursesThatClickMN.com ; resources to implement MLMQ as an alternative to suspension; and Posters and other promotional materials. My Life My Quit Stanford Medicine Tobacco Prevention Toolkit The Stanford Medicine Tobacco Prevention Toolkit is a free theory-based and evidence-informed curriculums and resources created by educators, parents, youth and researchers aimed at preventing middle and high school students’ use of tobacco and nicotine. The Toolkit Includes: You and Me, Together Vape-Free Curriculum ; Healthy Futures Curriculum: Alternative-to-Suspension Curriculum ; Smokeless Tobacco 101; Hookah 101; and Factsheets and posters. Stanford Toolkit This Is Quitting This is Quitting is a free and anonymous text messaging program from Truth Initiative designed to help young people quit vaping. Features include: Tailored programming based on age (within 13-24 years old) and product usage to give teens and young adults appropriate recommendations about quitting; and Free promotional materials to promote This is Quitting within schools and local communities. This Is Quitting INDEPTH | American Lung Association INDEPTH is a FREE interactive program that teaches students about nicotine dependence, establishing healthy alternatives and how to kick the unhealthy addiction that got them in trouble in the first place. How it works: Schools connect with the American Lung Association; Facilitators complete an online INDEPTH training ; and Facilitators prepare and implement the INDEPTH program . INDEPTH Escape the Vape Video Challenge Escape the Vape Video Challenge is a PSA video contest where Minnesota middle and high schools can use their voice to raise awareness about the dangers of vaping and expose the shadowy tactics of the tobacco industry. Students create and upload their 30-second, vape-bashing PSA video, and have the chance to win $500 for themselves and $500 for their school or organization, along with other great prizes. #mnjointheescape Escape the Vape Vape, Educate Vape, Educate is an online course originally designed to be completed by middle and high school students. It can be purchased and used as an educational program for teachers, parents, and other community members. The program is intended to be used as a tool that provides supplemental material to educate students about vaping. Vape, Educate Essentia Health As part of the Don’t Blow It: Anti-vaping Campaign , Essentia Health developed a toolkit that can be used by teachers and community groups to educate students and the general public about the dangers of vaping. Don't Blow It: Anti-Vaping Citations U.S. Department of Health and Human Services. Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National 2 Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. 2012. National Academy of Medicine. Public Health Implications of Raising the Minimum Age of Legal Access to Tobacco Products. National Academy Press. 2015. Boyle, R., Kingsbury, J. & Parks, M. Raising the Minimum Legal Sales Age for Tobacco to 21. Minnesota Medicine. 2017. U.S. Department of Health and Human Services. The Health Consequences of Smoking: 50 Years of Progress. A Report of the Surgeon General. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. 2014. Goriounova, N., Mansvelder, H. Nicotine exposure during adolescence alters the rules for prefrontal cortical synaptic plasticity during adulthood. Frontiers in synaptic neuroscience. 2012. Nelson, D. et al. Long-term trends in adolescent and young adult smoking in the United States: metapatterns and implications. Am J Public Health. 2008.

SUPPORT ANSR Our commercial tobacco prevention work wouldn't be possible without the generous contributions of our donors. You can donate to ANSR any day by visiting our page on the GiveMN.org website. DONATE TODAY! Annual Plant Sale Fundraiser Every year since 1983, ANSR has raised money for the organization by hosting traditional plant sales. Your support is vital to ANSR (and is tax-deductible!) The 42nd annual plant sale will be held in May 2026. Plant Sale Time: May 15-16 2026, 9 AM - 5 PM daily Location: 1647 Laurel Ave, Saint Paul, MN 55104 Want to get involved in our work? Protecting the next generation from the harms of commercial tobacco products starts with community members like YOU. Please fill out this form and an ANSR staff member will be in touch with more details. Contact us First name* Last name Email* Phone number Write a message Submit

RESEARCH ANSR has participated in many research studies with partners, including the University of Minnesota and the Minneapolis VA Medical Center. Selected publications are listed below. 1. Brock, B., Choi, K., Boyle, R.G., Moilanen, M., & Schillo, B.A. (2016). Tobacco product prices before and after a statewide tobacco tax increase. Tobacco Control, Published online first. doi: 10.1136/tobaccocontrol-2014-052018. http://www.ncbi.nlm.nih.gov/pubmed/25052861 2. Amato, M., Boyle, R.G., Brock B. 1, (2015). Higher price, fewer packs: evaluating a tobacco tax increase with cigarette sales data. American Journal of Public Health, Published online first. doi: 10.2105/AJPH.2014.302438. https://pubmed.ncbi.nlm.nih.gov/25602874/ 3. Brock, B., Schillo, B.A., & Moilanen, M. (2014). Tobacco industry marketing: and analysis of direct mail coupons and giveaways. Tobacco Control, Published online first. doi: 10.1136/tobaccocontrol-2014-051602 http://www.ncbi.nlm.nih.gov/pubmed/25052861 4. Choi, K., Fabian, L., Brock, B., Engman, K., Jansen, J., & Forster, J. (2014). Availability of snus and its sale to minors in a large Minnesota city. Tobacco Control, 23(5), 449-451. doi: 10.1136/tobaccocontrol-2012-050719 http://www.ncbi.nlm.nih.gov/pubmed/23303287 5. Widome, R., Brock, B., Noble, P., & Forster, J.L. (2013). The relationship of neighborhood characteristics to point-of-sale tobacco advertising and marketing. Ethnicity and Health, 18(2), 136-51. http://www.ncbi.nlm.nih.gov/pubmed/22789035 6. Hewett, M., Ortland, W., Brock, B., & Helm, C. (2012). Secondhand smoke and smokefree policies in owner-occupied multi-unit housing. American Journal of Preventive Medicine, 43(5S3), S187-S196. http://www.ncbi.nlm.nih.gov/pubmed/23079216 7. Widome, R., Brock, B., Noble, P., & Forster, J.L. (2012). The relationship of point-of sale advertising and neighborhood characteristics to underage sales of tobacco. Evaluation & the Health Professions, 35(3), 331-345. http://www.ncbi.nlm.nih.gov/pubmed/22615496 8. Widome, R., Brock, B., Klein, E.G., & Forster, J.L. (2012). Smokeless tobacco advertising at the point of sale: prevalence, placement, and demographic correlates. Nicotine & Tobacco Research, 14(2), 217-223. http://www.ncbi.nlm.nih.gov/pubmed/22080586 9. Widome, R., Joseph, A.M., Brock, B., Chlebeck, B., Polusny, M., Gulden, A., & Fu, S.S. (2011). Talking to Iraq and Afghanistan war veterans about tobacco use. Nicotine & Tobacco Research, 13(7), 623-626. http://www.ncbi.nlm.nih.gov/pubmed/21436295 10. Hewett, M.J., Sandell, S.D., Anderson, J., & Niebuhr, M. (2007). Secondhand smoke in apartment buildings: renter and owner or manager perspectives. Nicotine & Tobacco Research, Suppl 1, S39-47. http://www.ncbi.nlm.nih.gov/pubmed/17365725 11. Klein, E.G., Forster, J.L., McFadden, B., & Outley, C.W. (2007). Minnesota tobacco-free park policies: Attitudes of the general public and park officials. Nicotine & Tobacco Research, Suppl 9, S49-55. http://www.ncbi.nlm.nih.gov/pubmed/17365726 12. Weigum, J. (2005) Case study 8.3 titled “In Minnesota: Multiple strategies, multiple defeats-ultimate victory” in National Cancer Institute, ASSIST: Shaping the Future of Tobacco Prevention and Control. Tobacco Control Monograph No. 16. Bethesda, MD: U.S. Department of Health and Human Services, National Institutes of Health, National Cancer Institute. NIH Pub. No. 05-5645, May 2005. 13. Hennrikus, D., Pentel, P.R., & Sandell, S.D. (2003). Preferences and practices among renters regarding smoking restrictions in apartment buildings. Tobacco Control, 12(2), 189-94.http://www.ncbi.nlm.nih.gov/pubmed/12773730 14. Weigum, J. & Ravnitzky, M. (1999) Filtered or unfiltered information: Choices in how to make the Minnesota tobacco document depository records more accessible to the public. William Mitchell Law Review, 25(2), Article 11. http://open.wmitchell.edu/wmlr/vol25/iss2/1 Download a list of ANSR Board Member publications

Lesson One: Introduction to Tobacco Lesson One (PDF) Lesson One (PPT) Lesson Files Ingredient Cards Tobacco 101 Factsheet Videos N/A

OUR MISSION ANSR is dedicated to reducing the human and economic costs of commercial tobacco, nicotine and other drug use in Minnesota. Our core commitments are: to protect young Minnesotans from a lifetime of addiction; to ensure that all Minnesotans can breathe clean, smoke-free air everywhere; and to reduce health inequities and other disparities in relation to commercial tobacco, nicotine and other drugs. In 1975, ANSR helped pass the nation’s first comprehensive state clean indoor air legislation. Since then, ANSR has continued to play a leading role in shaping tobacco policy and has been involved in every major state-wide policy, such as the Freedom to Breathe Act in 2007 and raising the tobacco tax in 2013. ANSR helped Minneapolis and Saint Paul restrict the sales of flavored tobacco, including menthol, and also helped Edina become the first Minneapolis city to raise the tobacco sales age to 21. Financial Documents 2023 ANSR Audited Financial Statements 2023 Federal Form 990 Annual Reports 2023 Annual Report 2022 ANSR Audited Financial Statements 2022 Federal Form 990 2022 Annual Report 2021 ANSR Audited Financial Statements 2021 Federal Form 990 2021 Annual Report 2020 ANSR Audited Financial Statements 2020 Federal Form 990 2020 Annual Report 2019 ANSR Audited Financial Statements 2019 Federal Form 990 2019 Annual Report 2018 ANSR Audited Financial Statements 2018 Federal Form 990 2018 Annual Report 2017 ANSR Audited Financial Statements 2017 Federal Form 990 2017 Annual Report

Lesson Three: Child Labor in the Tobacco Industry Lesson Three (PDF) Lesson Three (PPT) Lesson Files Child Labor Factsheet Child Labor Photo New York Times Article Videos Made in the USA - Child Labor and Tobacco Malawi's Tobacco Children

E-CIGARETTES Electronic cigarettes, or e-cigarettes, are battery-operated devices that contain a mixture of liquid nicotine and other chemicals. The device heats this mixture, called e-juice, producing a nicotine aerosol that is inhaled. E-cigarettes are also called vapes, vape pens, e-hookahs, e-pipes, hookah pens or personal vaporizers. The 2017 Minnesota Youth Tobacco Survey, conducted by the Minnesota Department of Health, showed that the youth commercial tobacco usage rate increased for the first time since 2000 when the survey first began. The rise was due to e-cigarettes. E-cigarette use among Minnesota high school students peaked around the beginning of the COVID-19 pandemic, and has decreased since. In 2023, one in seven (13.9%) of Minnesota high school students had vaped in the past 30 days. The Beginning: JUUL The rise of market leader JUUL, pictured left, in the 2010s lead to a massive increase in e-cigarette use among youth. JUUL pods come in youth-friendly flavors and provide a doubled dose of nicotine when compared to typical e-cigarettes. This is dangerous, as nicotine is harmful to developing adolescent brains. Nicotine interferes with brain development and can have a long-term effect on mental health. Even brief or intermittent nicotine exposure during adolescence can cause lasting damage. E-cigarette use by youth and young adults increases their risk of using conventional cigarettes in the future. "Disposable" Vapes Unlike refillable or pod-based vapes such as JUUL, disposable vapes are meant to be discarded after a single use. These products come in a wide variety of shapes, flavors, and colors and are becoming increasingly popular. They are not FDA approved nor regulated. The term "disposable" is misleading. E-cigarettes contain nicotine, plastics, heavy metals, and lithium-ion batteries, all of which cannot be disposed of in the garbage. They are classified as hazardous waste. E-Cigarettes and Schools It’s easy for youth to hide e-cigarettes among everyday school supplies in their backpacks. Since the rise of JUUL, other look-alike products have hit the market in a wide range of flavors. Some schools have gone so far as to ban USB drives, as it is too difficult for teachers to discern between the devices. There are many deceptive products on the market that are designed for youth to hide their use. These include vape hoodies, devices built into working watches, and devices made to look like lipstick or highlighters. With these issues in mind, ANSR put together the Tools for Schools Toolkit to help schools address commercial tobacco use, including the use of vapes, on school property. The guide also includes tools and resources to adopt and implement a commercial tobacco-free policy. Download Tools for Schools Toolkit Regulations Minnesota law prohibits e-cigarette use in public schools, hospitals, clinics, daycare facilities during hours of operations, and government-owned buildings, including city and county buildings. Minnesota law requires e-cigarette liquids and systems to be sold in child-resistant packaging. E-cigarettes cannot be sold from movable places of business, like mall kiosks or community events, or in self-service displays. Retailers are required to obtain a tobacco license before selling these products and to ensure these products are only sold to those who are 21 years of age or older. Youth Tobacco Usage & COVID-19 Research has shown commercial tobacco use can affect COVID-19 outcomes. In 2020 ANSR worked with youth advocates in Ramsey County to conduct a pair of surveys of youth in the Twin Cities Metro. The youth assembled and disseminated the survey questions, putting together a survey early during the Stay at Home orders and again in late summer 2020. Youth Vaping Survey Toolkit: ANSR created a toolkit, based on the surveys (shown left), outlining youth engagement and survey implementation. This toolkit also includes sample questions to ask, as well as a step-by-step guide on how to create your own survey and engage youth in collecting data. Download Toolkit E-Cigarette Resources E-Cigarettes Fact Sheet E-Cigarettes Fact Sheet Citations Big Tobacco Desk Image Vaping and Mental Health Fact Sheet Spanish Version Big Tobacco Backpack Image

MEET OUR TEAM Email Jeanne Jeanne Weigum President Jeanne has served as the President of ANSR since 1980, though her path to leading the organization for nearly four decades has somewhat humble roots. The Association for Nonsmokers’ Rights, as it was called at the time, was in the midst of fighting for the nation’s first statewide clean indoor air law in 1975. Jeanne saw an ad in a local paper about the association’s work and decided to become a member, which only cost $1. After becoming a member, Jeanne soon joined the ANSR board and eventually moved her way up to the full-time President, a role for which she has never taken a salary. From ground-breaking smoke-free housing work to innovative approaches to preventing youth tobacco use, she has provided strategic direction for numerous public policy wins in Minnesota. She remains deeply committed to enhancing public health and her community. When not fighting the good fight at ANSR, you’ll find Jeanne baking in the winter, gardening in the spring and summer, and up to her ankles in rescue dogs year round. Email Emily Emily Anderson Director of Policy Emily is a Program Director who focuses on point-of-sale policy work and clean outdoor air in parks and on college campuses. Since her first year at Macalester College in Saint Paul, Emily knew she wanted to work at a nonprofit and contribute to a greater good. After graduate school and stops at a few other nonprofits, she found her niche in public health policy and tobacco prevention at ANSR. Emily has supported dozens of Minnesota communities in passing tobacco-free parks policies and has worked closely with colleges and universities, including the University of Minnesota, in adopting tobacco-free campus policies. She advocated for a first-of-its-kind cigar pricing ordinance in Brooklyn Center. She has presented at several public health conferences, including the National Summit on Smokeless and Spit Tobacco and the National Conference on Tobacco or Health. Outside of work Emily enjoys spending time with her family in Minneapolis and heading into the great outdoors to bike, camp and skijor. While Minnesota is now home, she takes pride in teaching her two young daughters to say “Go, Pack, Go!” Email Katie Katie Engman Program Director, Policy & Compliance Katie has led school and community commercial tobacco-prevention efforts since 2002, centering her work on youth education, advocacy, and engagement. She has been instrumental in advancing local policies, including ending the sale of flavored products, smoke-free workplaces, youth access laws, tobacco-free parks, and numerous updates to city ordinances. Most recently, she began coordinating THC and cannabis compliance checks, building on her decades of experience conducting tobacco compliance checks. Outside the office one might find Katie in the middle of a lake, having arrived there via swimming, boating, or paddling. She also enjoys planning family adventures, such as trips to the beach and cheering on her kids at their activities. Email Jason Jason Lind Director of Finance and IT Jason is ANSR’s Director of Finance and IT. He joined ANSR in 2020 and has a long history of nonprofit work. Jason helps manage the overall ANSR budget and ensures we are good stewards of the funds we receive. He is passionate about technology and enjoys teaching and discussing tech of almost any kind. Personally, he enjoys going for long walk-and-talks with his wife, throwing not-so-perfect spirals to his twin boys, and playing pickleball. Email Molly Molly Schmidtke Policy and Technical Assistance Manager Molly is a Policy and Technical Assistance Manager. In this role, Molly is responsible for conducting outreach and education events, supporting youth policy and advocacy efforts, and supporting all other ANSR tobacco prevention efforts. Some of her accomplishments include: multiple flavored commercial tobacco restrictions in MN communities, working with youth to create, disseminate and evaluate vaping prevalence surveys with youth partners, as well as creating and disseminating a toolkit focused on the environmental impacts of commercial tobacco products. She has a BS from the University of Wisconsin-La Crosse in Public Health – Community Health Education and a Master’s in Public Health degree from the University of Minnesota. She is also a Certified Health Education Specialist. She is passionate about many public health topics, such as health equity, policy and advocacy. Outside of work, Molly loves to be out on the Mississippi River and watching the Minnesota Wild. Email Chris Christopher Smith Community Policy Advocate Chris started at ANSR as a contracted Campaign Organizer in 2020 and officially joined the team as a Community Policy Advocate in 2022. Chris enjoys connecting communities with lawmakers and city leadership. He believes that community engagement is key to developing sound equitable policies. Chris holds a bachelor’s degree in business and a master’s in advocacy and political leadership -both from Metropolitan State University. He comes to ANSR with a breadth of community organizing experience, from working closely with faith communities as a congregational organizer, to field organizing during numerous election cycles for political and issue campaigns. At ANSR Chris is focused on local tobacco prevention policy at point of sale and smoke-free housing. While not working in the office, Chris spends much of his time biking, developing bikepacking routes for his next adventure, and cheering on the St. Paul Saints with friends and family. Chris is a downtown St. Paul resident and considers himself to be an “armchair Urbanist” since he often criticizes street design, even though he does not hold a degree in engineering or urban planning. Email Madeline Madeline Bremel Program Director Madeline is the Program Director for the Minnesota Prevention Resource Center, and is responsible for providing programmatic oversight and supporting MPRC’s technical assistance and communication needs. Madeline has worked in Public Health in Minnesota, Oregon, and New Mexico, and has found a niche doing planning, organization, and communication-related work at the systems level. Madeline has an MPH from Oregon State University in Health Promotion and Health Behavior. Outside of work you might find Madeline cross-country skiing, crafting, or studying their dog, Pearl's, personality. Email Alex Alexandra Eberhart Project Lead Alex is a Project Lead primarily working on the Live Smoke Free program housed at ANSR. She assists multi-unit housing properties in adopting smoke-free policies and contributes to community outreach, resident engagement, and enforcement strategies for smoke-free housing. Alex also supports youth engagement and advocacy efforts to prevent commercial tobacco use, empowering young leaders to make a difference. Alex earned a Master’s in Public Health from St. Ambrose University and a BS in Public Health - Health Administration from Winona State University. With her long-standing passion for community well-being, she is eager to further ANSR’s mission and engage with communities in promoting smoke-free living. Outside of work, you can find her playing pickleball, reading a book, or enjoying the outdoors. Email Sheila Sheila Watercott Regional ATOD Prevention Coordinator - Region 7 Sheila Watercott serves as a Minnesota Regional Alcohol, Tobacco, & Other Drug Prevention Coordinator (RPC) in the 7 county Metro Region. She has over 15 years experience coordinating community projects focused on health and safety. Prior to taking this role, she was a Community Health Educator and Project Coordinator in Little Falls and Morrison County. She has worked with community partners to achieve outcomes in reducing youth substance use, in growing awareness of effective substance use prevention strategies, and in growing knowledge of the harms of youth substance use, including the use of marijuana, alcohol, commercial tobacco products, and prescription drugs. Email Jaclyn Jaclyn Frank Live Smoke Free Community Outreach Coordinator Jaclyn is a Community Outreach Coordinator for the Live Smoke Free program at ANSR. Jaclyn collaborates with property managers, residents, local public health, and state partners to promote, implement, and evaluate smoke-free multi-unit housing policies. She has a background in mixed-methods research, advocacy, and systems improvement across various public health domains including housing, chronic diseases, and the public health workforce, all with a strong focus on health equity. Jaclyn has a BS in Public Health from Purdue University and an MPH from the University of Minnesota in Public Health Administration and Policy. Outside of work, you might find her running along the Mississippi River, singing karaoke, or finishing a puzzle. Email Moe Moe Sadique Event Coordinator Moe serves as the Event Coordinator for the Minnesota Prevention Resource Center. Their role includes planning MPRC training and events, such as the annual MN Prevention Program Sharing conference, and providing administrative support to other ANSR programs. Moe has a background in civic engagement, organizing and politics, as well as experience leading teams in managing medical and pharmacy benefits. They are passionate about using their project coordination and program development skills to advance the work of MPRC. Moe also loves nature, music, crafts, reading, and spending time with their son and their dog. Email Gabrielle Gabrielle Horsford Community Outreach and Advocacy Coordinator Gabrielle is a Community Outreach and Advocacy Coordinator, working on Point of Sale, Flavors, and Tobacco Marketing. Gabrielle supports advocacy efforts, outreach and education events, and provides administrative support to other ANSR programs. Gabrielle has a public health background, with a passion for eliminating racial health disparities by combining policy advocacy with theory-driven behavior change practices. She has a BA in psychology from the College of Saint Benedict, and an MPH in Community Health Promotion from the University of Minnesota –School of Public Health. Outside of work, Gabrielle enjoys educating young people at the community college level, eating her husband’s cooking, and walking their two dogs.

OUR MISSION ANSR is dedicated to reducing the human and economic costs of commercial tobacco, nicotine and other drug use in Minnesota. Our core commitments are: to protect young Minnesotans from a lifetime of addiction; to ensure that all Minnesotans can breathe clean, smoke-free air everywhere; and to reduce health inequities and other disparities in relation to commercial tobacco, nicotine and other drugs. In 1975, ANSR helped pass the nation’s first comprehensive state clean indoor air legislation. Since then, ANSR has continued to play a leading role in shaping tobacco policy and has been involved in every major state-wide policy, such as the Freedom to Breathe Act in 2007 and raising the tobacco tax in 2013. ANSR helped Minneapolis and Saint Paul restrict the sales of flavored tobacco, including menthol, and also helped Edina become the first Minneapolis city to raise the tobacco sales age to 21. Financial Documents 2023 ANSR Audited Financial Statements 2023 Federal Form 990 Annual Reports 2023 Annual Report 2022 ANSR Audited Financial Statements 2022 Federal Form 990 2022 Annual Report 2021 ANSR Audited Financial Statements 2021 Federal Form 990 2021 Annual Report 2020 ANSR Audited Financial Statements 2020 Federal Form 990 2020 Annual Report 2019 ANSR Audited Financial Statements 2019 Federal Form 990 2019 Annual Report 2018 ANSR Audited Financial Statements 2018 Federal Form 990 2018 Annual Report 2017 ANSR Audited Financial Statements 2017 Federal Form 990 2017 Annual Report

OUR MISSION ANSR is dedicated to reducing the human and economic costs of commercial tobacco, nicotine and other drug use in Minnesota. Our core commitments are: to protect young Minnesotans from a lifetime of addiction; to ensure that all Minnesotans can breathe clean, smoke-free air everywhere; and to reduce health inequities and other disparities in relation to commercial tobacco, nicotine and other drugs. In 1975, ANSR helped pass the nation’s first comprehensive state clean indoor air legislation. Since then, ANSR has continued to play a leading role in shaping tobacco policy and has been involved in every major state-wide policy, such as the Freedom to Breathe Act in 2007 and raising the tobacco tax in 2013. ANSR helped Minneapolis and Saint Paul restrict the sales of flavored tobacco, including menthol, and also helped Edina become the first Minneapolis city to raise the tobacco sales age to 21. Financial Documents 2023 ANSR Audited Financial Statements 2023 Federal Form 990 Annual Reports 2023 Annual Report 2022 ANSR Audited Financial Statements 2022 Federal Form 990 2022 Annual Report 2021 ANSR Audited Financial Statements 2021 Federal Form 990 2021 Annual Report 2020 ANSR Audited Financial Statements 2020 Federal Form 990 2020 Annual Report 2019 ANSR Audited Financial Statements 2019 Federal Form 990 2019 Annual Report 2018 ANSR Audited Financial Statements 2018 Federal Form 990 2018 Annual Report 2017 ANSR Audited Financial Statements 2017 Federal Form 990 2017 Annual Report

RESOURCES Minnesota History Since passing the first-of-its-kind Clean Indoor Air Act in 1975, Minnesota has remained a leader in commercial tobacco prevention. Learn More About Minnesota History Research ANSR has participated in many research studies with partners, including the University of Minnesota and the Minneapolis VA Medical Center. Learn More About Research Tobacco 101 “Tobacco 101: A Teacher’s Guide to Anti-Tobacco Lesson Planning” is a free, web-accessible guide for teaching youth about tobacco prevention. Learn More About Tobacco 101 Environmental Impact Toolkit Commercial tobacco products like cigarettes and e-cigarettes have a large impact on our environment. Learn More About Environmental Impact