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Minnesota Office Attorney Registration - PDF

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					                    MINNESOTA OFFICE OF THE ATTORNEY GENERAL
                              MIKE HATCH,AttorneyGeneral
CHARITIES UNIT                                    www.ag.state.mn.us
                                                                       -
Suite 1200,NCL Tower
445 Minnesota Street
St. Paul, MN 55101-2130
(651) 296-6172
(651) 296-1410 (TrY)

                          CHARITABLE            ORGANlZAnON
                                                          ANNUAL REPORT

 FOR YEAR ENDING: 12/31/04                                     FEDERAL EIN NUMBER: 41-1950169

INSTRUCTIONS: File the following items in one package, not separately by the due date. All
extensions requests must be submitted in writing to the Attorney General before the due date. See
attached instructions.

A.        Complete annual report fonn and have two otYicers sign pursuant to board resolution.

B.        Attach a $25 check made payable to State of Minnesota. Include a $50 late fee if report is med past
          the due date when no extension has been requested or if report is ffied past the extended due date. If
          late, total re-registration fee is $75.

c.        Attach a charitable organization financial statement. If revenues exceed $350,000, financial statement
          must be audited, certified and prepared in accordance with generally accepted accounting principles.
          Please refer to Minnesota Statutes § 309.53 (2002).

D.        Attach a copy of the IRS fonD 990 or 990-EZ along with aU attachments                  and schedules, including
          Schedule A. (See question 7 if a FOnD 990 or 990-EZ was not med.)

E.        Attach a list of the organization's   board of directors.
Use this form only if you are registered to solidt contributions from the public under Minnesota Statutes chapter 309. Not for
               charitabletrusts(underMinnesota
useby registered                                     §§
                                              Statutes 501B.33-.45).

          Minnesotans for Responsible Recreation
          Legal Name of Organization.
          If the namehas changed,pleaseprovide forDlername:
          P. O. Box 111                                                            Jeff Brown
          Cmrent StreetAddress                                                                 Contact Person
          City: D~ll!th                               -
                                                                        MN
                                                                   State: __~ip:.§~                 ~ County:St. Louis
                                                           ;
          Telephone No.:{218)                                     ..
                                                                           FaxNo.:(~)         740-3176
2.        Has the organization's accountingyear changedsincethe last report was filed? Yes          C     NoB
          If yes,providethenewyearenddate                                                                                        -
3.        Provide name and addressof any outside professionalfund-raiseremployed by the organizationand statethe
          total amount of compensationeach outside fund-raiser received from the filing organi7Jrtionduring the year.
          Attach schedule if more than one.
          Name        -                                          Streetand Number
          City                   State         Zip_.             Compensation
                                                           in         Yes 0
          Does this professionalfundraisersolicit or consult Minnesota?       No I:]

(03-03)
4.   List the nameor namesunder which the organizationsolicits contributions:
      Minnesotansfor ResponsibleRecreationI MRR

5.   Attach explanation if there has been any change in the organization's tax status with the Internal Revenue
     Service; a significant changein the purposesof the organization; or whetherthe organization's right to solicit
     funds has beendenieq,suspended,   revoked or enjoinedby any stateagencyor court in any state,or if there are
     proceedingspending.

6.   List five highest paid directors, officers and employeesof the filing organizationand its related organizations
     that receive total compensationof $50,000 or more, their titles and total compensationpaid to each. Total
     compensationincludes salaries,fees,bonuses,fringe benefits, severance    paymentsand deferredcompensation
     paid by the organization and all related organizations. Definition: A "related organization" is an organization
     that controls, is controJled by or is under common control with another corporation. "Control" can exist
     through stock ownership or membershipinterests,the authority to appoint members,or the ability to direct the
                                of
     policies and management other corporations.

                                        Namerritle                                           Compeosatioo

       11None
     I l)



     ~
7.                                   this
     FINANCIAL SECTION Complete section                             receivcdlessthan$25,000 total
                                             only if the organization                      in
              has             a          IRS
     revenue.ml!;! not attached completed Form990or 990-EZ.

     INCOME
             Contributions from the public


                                                             !
             GovernmentGrants
             Feesfor program service
             Other Revenue                                              ,1:;B~~~i[~1:~,;;
               TOTAL INCOME                                                                   s
      EXPENSES
           Amount spentfor program or
            charitablepurposes
           Management/general    expense
           Fund-raisingexpense
           Amounts paid to affiliated organizations
             TOTAL EXPENSES
                                                             ~~:~~t~                          s
      EXCESS or Deficit           $
      TOTAL Assets $
      TOTAL Liabilities           $

END OF YEAR FUND BALANCE/NET WORTH (Assetsminus Liabilities)                                  s
                                                           REOUIRED FOR 990-EZ FILERS

      8              990 EZ A1TAC~NT:               The federal form 990-EZ does not satisfy all requirements for the annual
                     financial statement. An organization filing the IRS Form 990-EZ. must also include a statementof functional
                     expensesand a schedule of total contributions received that specifically itemizes and distinguishes (total)
                     government grants from direct and indirect public support. Complete the following tables to satisfy this
                     requirement.

                                                       SCHEDULEOF CONTRIBUTIONSRECEIVED




      * LiDe Id should equa1line 1 of the organization's                                    IRS Form 990EZ.

                                                                                            (Com?lete all columns bel~~-~
                    STATEMENT OF                                                   (A)             (B)            (C)         (D)
                 FUNCnONAL EXPENSES                                               Total         Program       Management  Fundraising
                                                                                                Services      and General

      22. Chm11sarxlAJk.~~TJS                                       ~

      ~J .       ~       ~              to IrdvdJal1                ~.
                                - ---
                 Benefits Paid to/for Members                       24

                                I"i
                 O~.I'r n- w-;t;'. affD2'SjDired(r5                 ,~C;
                                                                                     30,000         24,000         3,0001        3.0001
       ,'6. Other Salaries and Wages                                                    310            186            6£
       ;7. Pension Plan Contributions
                       -
            Other Employee Benefits
                                                                    ?Q                                                308
            Payroll Taxes                                                             3,0841          2,4681                       3081
                 ~!~ssiona1 Fundraising Fees                  i~~
                 Accountin~_~~
                                                              rr         J";




                                                                                                   =:JS
                                                              [cO




       - ..! Legal
    I~~~~~~~~'
             0           Fees
                                                              l?:                         225       2.084
                                                                                                        5
                                                                                                                                ~249'
      33. Supplies
      34. Telephone

    I ~
                 Postage and Shipping
                 Occupancy                                                            3.520
                                                                                                      1994
                                                                                                      2.791:
                                                                                                      2.816
                                                                                                                     ~
                                                                                                                     :1=           349
                                                                                                                                   352
    I V,. F.quil:KIH1t
    ,,",u.
                     Je1tal & ~
                  Printing and Publications
                 Travel
                                                                                =:iii  ,706
                                                                                      1,022
                                                                                      3,~: .
                                                                                                      ~
                                                                                                      1,022
                                                                                                                     ~             371


                 -COnferences,Meetings                                                                2,484          ~             311
      41. Interest                                                                                                   ~
      42. Depreciation,~le~?~
    43& Other                Expenses (Itemize):                               Insurance 739                          739
      "b:
       Co
             -
      --
         ToW A, Line 44 should equal line 17 of the organization's
      * Column-Functional Expenses
      ..4                                             55,305                                         ~._~t       ~
                                                                                                    IRS Form 990EZ.               5.696

                     * The toW of lines 22 through 43c should equal line 44.
                     * The toW of lines 44B.- 44C and 44D should equal line 44A.
                                                                  -
                                    If the orl!anization            files a Form 990. yOU may SkiD this Dal!e.




~
                                       SIGNATURESAND ACKNOWLEDGMENT

          We herebystateand acknowledgethat we are duly constitutedofficers of the organizationnamedin
this Annual Report,beingthe 'Pre sidpj)t                                 (Title) TteJl~vt'~V""            (Title)
                                                       on
thereof,respectively,that this Annual Reportis executed behalf of the organizationpursuantto resolution
of the B6A-r"tl i-         .D;Y"~       OY'(.       (Board of Directors or Trustees,or if none, other Managing
Group) duly adoptedon the          J~~-day of -A~--,                  20 ~,           the     of
                                                                              approving content this Annual
Reportand all its attachments.

. NOTICE: All             information      and documentation    provided    as part of this
                    registration,   including  this form, will be available to the public as
                    public records. A CHARITABLE ORGANIZATION IS NOT REQUIREDTO
                    FILE A LIST OF ITS DONORS.                IF TmS LIST IS FaED,        IT
                    CONSTITUTES PART OF THE ORGANIZATION'S REGISTRATION AND
                    WILL BE TREATED AS A PUBLIC RECORD.


    ~J)       J~         /] J}   :<;t5)~1   J   TWO SIGNATURESREOUIRED
                                                ~                 SLelt
                                                                               A. ~L~              ~\,~
Name               (P:rint)                                       Name
                                                                                    :I_?t~o          .
                                                                                   VlJ...   .A).fII.-~
                                                                         -
                                                                  Signature

                                                                                  ...~




                   .{)S~
                                                                  Date


           Upon request this material can be made available in alternate formats.
AG: 548427,v. 01
Minnesotans Responsible Recreation
           for
Statement of Activities
For the year ended 12/31/04




                                  December     Year to Date   Year to Date   YTD Budget    Annual
                                     Actual         Actual         Budget       Balance    Budget

Revenues andothersupport:
    Restricted-Grants                 -          10,000.00        35,000        (25,000)   35,000
    Unrestricted-Members Donors
                       &          2,256.70       39,459.42        50,000        (10,541)   50,000
    Advertising                        -               -                -             -         -
    Investments                       0.23           26.01           300          (274)      300
        Total Revenues            2,256.93      49,485.43         85,300        (35,815)   85,300



Expenditures:
    Personnel                     3,895.45       33,394.63        46,182        (12,787)   46,182
    Legal Fees                                      225.00         2,500         (2,275)    2,500
    Printing                        323.60        3,705.59         4,500           (794)    4,500
    Office Space/Rental             285.00        3,520.00         3,420            100     3,420
    Telephone                       188.31        2,492.22         3,000           (508)    3,000
    Postage                         180.00        3,489.27         2,000          1,489     2,000
    Office Supplies                               1,898.20         2,500           (602)    2,500
    Mileage/Meals                    34.65        1,022.00         1,530           (508)    1,530
    ComputerSupplieslMaint          129.39        1,573.64         2,000           (426)    2,000
    Staff Development                                                500           (500)      500
    Insurance                       526.50          738.50           750            (12)      750
    Photography                                                      500           (500)      500
    P & Q Event                                   3,106.06                        3,106
    BankCharge& Interest             25.00          140.31             75            65       75
         Total Expenditures

Net Change                        (3,330.97)     (5,819.99)        15,843       (21,663)   15,843
Minnesotans For ResponsibleRecreation
BalanceSheet
  12/31/2004




               Assets:                     Liabilities:

               Cash           $   408.49   ShortTerm Liabilities       $   1,211.98
               Receivables    $   500.00   Line Of Credit              $   5,058.90


                                           Equity                      $ (5,362.39)


               Total Assets   $   908.49   Total Liailities & Equity   $    908.49
             Minnesotans for ResponsibleRecreation
                      Board of Directors
                            12/31/04


PamJohnson- President
920 Lake Avenue
Duluth, MN 55802

ScottMcLaughlin-Treasurer
215 SheridanAve S
Minneapolis,MN 55405

Jenny Buckley-Secretary
722 East 12thStreet
Duluth, MN 55805

Jeff Brown-Director
P.O. Box 111
Duluth, ~   55801

Bobby King
P.O. Box 1444
Wino~ MN 55987

JohnAbrahams
6042BerquistRoad
Duluth, MN 55804

				
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