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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

TECHNICAL ASSISTANCE Minnesota Technical Assistance National Technical Assistance Minnesota Technical Assistance ANSR provides technical assistance (TA) to grantees in Minnesota working on projects through the Minnesota Department of Health's Commercial Tobacco-Free Communities, Statewide Health Improvement Partnership and Youth E-Cigarette Prevention and Cessation Initiative grants. A NSR provides TA and training to grantees for commercial tobacco-specific policy areas and general skills development through various methods, including: individual consultation via in-person, phone, email or video conversations; group trainings via conference calls, webinars, lunch-and-learns, presentations or workshops; and providing materials and other resources for commercial tobacco -specific areas, general policy development or skills developmen t . Grantees Served Statewide Health Improvement Partnership (SHIP) Commercial Tobacco-Free Communities (CTFC) Youth E-Cigarette Prevention and Cessation Initiative (YEPCI) Strategy Expertise Commercial tobacco- and smoke-free policies Tobacco control Smoke-free housing Tobacco-free campuses Point-of-sale/retail environment Smoke-free foster care and/or child care Tobacco-free or smoke-free outdoor spaces (parks and recreation, transit stops, healthcare sites, etc.) Population-Specific Expertise Urban, suburban and rural populations Black, African American, Hispanic/Latino, Asian and Native American populations 2SLGBTQ+ populations Youth and young adults Adults over 60 Persons with mental illness and/or experiencing substance misuse Foundational Skill Expertise Community Engagement Advocacy/community mobilization Coalition building and sustaining Partnership/leadership development Identifying and developing key relationships Asset and power mapping Leading and facilitating effective meetings Building teams Assessment, Planning & Evaluation Assessment or survey development Strategic planning Evaluation planning Evaluation tool development Continuous program improvement (quality improvement) Understanding of Policy, Systems & Environmental Change (PSE) General PSE knowledge and skills Policy development and analysis Policy implementation guidance Communications Communications tools and planning Earned and paid media campaigns Factsheet/material development Branding Effective messaging Identifying and using success stories Meet the TA Team Jeanne Weigum President Email Jeanne Contact Jeanne for: Questions about state-level tobacco control work General policy strategy assistance Inquiries about the history of tobacco control Emily Anderson Director of Policy Email Emily Contact Emily for: Assistance with outdoor air policy work (parks, grounds, campuses, etc.) Information about menthol tobacco Point-of-sale policy development and implementation Community outreach and coalition building tips Preparation for meetings and public hearings with decision makers Community assessment Youth engagement tools Alex Eberhart Project Lead Email Alex Contact Alex for: Technical assistance to property owners, property managers, and public health professionals Property signage and materials Smoke-free housing resources for property, managers, renters, and common interest communities Policy implementation in affordable, market rate, and common interest communities Creation and utilization of educational materials Social media content and best practices Molly Schmidtke Policy and Technical Assistance Manager Email Molly Contact Molly for: Point-of-sale policy advocacy assistance Community outreach and coalition building help Youth engagement and advocacy best practices Resource development Information about the environmental impacts of commercial tobacco Planning for meetings with decision makers Community assessments Public hearing organization Katie Engman Program Director, Policy & Compliance Email Katie Contact Katie for: Commercial tobacco-free policy adoption and implementation at schools Help reaching out to decision makers and organizing public hearings Point-of-sale policy advocacy Community outreach, youth engagement and coalition building best practices Development of new resources Planning for meetings with decision makers Community assessments Jaclyn Frank Community Outreach Coordinator Email Jaclyn Contact Jaclyn for: Technical assistance to property owners, property managers, and public health professionals Smoke-free housing community assessments and data tracking Policy implementation in affordable, market rate, and common interest communities Housing industry outreach and engagement Resident outreach and engagement Creation and utilization of educational materials Technical Assistance Resources Available These are examples of available resources for grantees. Click to view and download. Factsheets Electronic Cigarettes Factsheet (PDF) Hookah Factsheet (PDF) Little Cigars Factsheet (PDF) Swiss Cheese Prevention Model (PDF) Sign Order Forms E-Cigarette School Sign Order Form Tobacco-Free Property Sign Order Form Smoke-Free Window Cling Order Form Smoke- & Tobacco-Free Grounds Signage Templates 2023 MYTS Highlights Factsheet (PDF) Commercial Tobacco Retail Licensing (PDF) Youth Engagement Checklist (PDF) Group Facilitation Guide (PDF) 2024 Surgeon General's Report Highlights (PDF) Toolkits and Trainings More Information Build Your Quit Kit (PDF) Environmental Impact Toolkit Tools for Schools Toolkit K-12 Schools Policy Guide (PDF) Point of Sale Assessment & Engagement Tool (PDF) Flavored Commercial Tobacco Project WATCH Industry Monitoring Price Discounting Minnesota History of Tobacco Control Stop Sales to Minors Retailer Training Tobacco 101 Curriculum About Us and Our Technical Assistance Minnesota Tobacco-Free Grounds Map Best Practices for Updating a Commercial Tobacco Retail Ordinance National Technical Assistance ANSR’s boots-on-the-ground experience and commitment to best practices prepares us to assist tobacco programs at all levels of need and expertise. ANSR will help you accomplish your goals whether you’re taking your first steps toward educating your community about the harms of commercial tobacco, working on smoke-free multi-unit housing or developing cutting-edge point-of-sale policies. We tailor our approach to meet your needs and can customize a contract for you from our wide menu of services. Contact us at ansrmn@ansrmn.org to learn more about our fee-for service model. Example of Past National TA Project: Clean Air for All ANSR was awarded a grant from the Robert Wood Johnson Foundation in March 2018 to support public housing agencies (PHAs) nationwide with implementation of the U.S. Department of Housing and Urban Development’s Smoke-Free Public Housing Rule. With this grant, ANSR created Clean Air for All: The Smoke-Free Public Housing Project, a partnership between our Live Smoke Free program and the National Association of Housing and Redevelopment Officials (NAHRO). Clean Air for All provided resources, technical assistance and a variety of training opportunities to public health agencies and PHAs in all 50 states, with a focus on 13 Tobacco Nation states where smoking rates are high and there are fewer resources to support tobacco prevention. Clean Air for All created a Smoke-Free Public Housing Compliance and Enforcement Toolkit (pictured right) that was distributed to 436 stakeholders in 34 states. ANSR's Live Smoke Free team can work with you to build a smoke-free housing compliance and enforcement toolkit for your state or region. Visit the Live Smoke Free website to learn more.

PROGRAMS Live Smoke Free Technical Assistance Retailer Compliance Stop Sales to Minors Alcohol, Tobacco and Other Drugs Project WATCH Menthol Coalition Ramsey Tobacco Coalition Tobacco-Free Spaces

Lesson Two: Marketing and Advertising Lesson Two (PDF) Lesson Two (PPT) Lesson Files Billboard Advertising Pictures Indoor Tobacco Advertising Pictures Looking at Tobacco Advertising Factsheet Magazine Tobacco Advertising Pictures Mail Tobacco Advertising Picture Outdoor Tobacco Advertising Pictures Social Media Tobacco Advertising Picture Videos Teens React to Cigarette Commercial Through Our Eyes, NYC Youth on Tobacco Marketing

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 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