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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

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. OUR MISSION 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 Minnesota city to raise the tobacco sales age to 21. Financial Documents 2024 ANSR Audited Financial Statements 2024 Federal Form 990 Annual Reports 2024 Annual Report 2023 ANSR Audited Financial Statements 2023 Federal Form 990 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

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

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 Ten: Environmental Impacts Lesson Ten (PDF) Lesson Files How Do Vapes Harm the Environment Factsheet "WHO Accuses Tobacco Industry of 'Greenwashing' in New Report" by Tracy J. Wholf and Eric Fayeulle Videos The Earth is Not Disposable Tobacco and the Environment Tobacco: Threat to Our Environment

POLICY INITIATIVES Flavored Tobacco The tobacco industry adds fruit, candy, menthol and other novelty flavors to their products to attract customers and hook kids. Learn More About Flavored Tobacco E-Cigarettes E-cigarettes, or vapes, have become extremely popular over the past decade and have driven the youth commercial tobacco use epidemic. Learn More About E-Cigarettes Tobacco 21 Minnesota's Tobacco 21 law, which raised the legal age to buy commercial tobacco products to 21, went into effect in 2019. Learn More About Tobacco 21 Secondhand Smoke According to the CDC, there is no safe level of exposure to secondhand smoke. Learn More About Secondhand Smoke Menthol Beautiful Lie, Ugly Truth Price Discounting Don't Discount My Life Nicotine-Free Generation Nicotine-Free Generation

MINNESOTA HISTORY OF COMMERCIAL TOBACCO PREVENTION

Lesson Five: People Power vs. Tobacco Industry Lesson Five (PDF) Lesson Five (PPT) Lesson Files Freedom to Breathe Factsheet Minnesota 1998 Tobacco Settlement Minnesota's Youth Access Laws Tobacco Documents Videos N/A

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

ENVIRONMENTAL IMPACT OF COMMERCIAL TOBACCO Commercial tobacco products like cigarettes and e-cigarettes have a substantial impact on our environment. These products contribute to the litter problem, with cigarettes being the most littered product in the US and e-cigarettes contributing to the single-use plastic problem and electronic waste. Throughout their life cycle, commercial tobacco products contribute to deforestation, greenhouse gas emissions, litter, single-use plastic waste and electronic waste, threatening our planet and our people. Environmental Impact of Commercial Tobacco Toolkit Environmental Impact of Commercial Tobacco Factsheet Paragraph Download the PDF Hazardous Waste Disposal Factsheet Paragraph Download the Fact Sheet Youth E-Cigarette Environmental Graphic Paragraph Download the Graphic Additional Environmental Resources Download Resources Environmental Impacts Lesson Plan Download Lesson Plan Disposable Vapes Factsheet Download the PDF Additional Materials Available Upon Request Environmental Impacts and Hazardous Waste Presentation Examples of Letters of Support Letters to the Editors on the Environmental Impacts Request Materials Tobacco - Threat to our Environment (WHO SEARO)