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      <Desc>Supporting people at risk of prenatal alcohol exposure (PAE): Proof Alliance recognizes we cannot do this work alone, and our ability to support community capacity to partner in this work is critical. In 2023, Proof Alliance provided grants to organizations to empower communities for FASD prevention and care efforts. Proof Alliance also provides oversight, technical support, training, and assistance for grant recipients. In 2023: Proof Alliance provided College Ambassador Grants to four colleges in Greater Minnesota supporting 13,959 students and faculty to raise awareness about FASD and the dangers of prenatal alcohol exposure. Proof Alliance provided Native American Community Grants to three local organizations in Minnesota's metro area, offering culturally responsive programs to mothers and families. These programs aim to increase awareness of prenatal alcohol exposure risks and provide support for families impacted by FASD. Proof Alliance administered the FASD Prevention Grant program, which provides grants to chemical health organizations in Minnesota to support pregnant and parenting people in recovery from alcohol and substance-use disorders through long-term wraparound care to support alcohol-free pregnancies and prevent FASD. In collaboration with our national partners, we continued our work training healthcare professionals on prenatal screening for alcohol use. We have now trained 64 prenatal providers in 15 states.</Desc>
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        <Desc>FASD identification, diagnosis and support: We continued with our national partners to train pediatric physicians in screening and have trained 125 pediatric providers across 15 states. Our on-site diagnostic clinic continues to serve both patients and the field. We partnered with the University of St. Catherine to provide field experience for their nursing students and continued our role leading the FASD Diagnostic Consortium. In 2023, Proof Alliance provided resource navigation, one-on-one support, family events, support groups and educational opportunities (e.g. caregiver conference) for 209 caregivers, an increase of 14% since 2022. We shifted to a new model of caregiver support, which incorporates peer-led support groups to maximize our resources and geographical reach and emphasize the value of lived experience. This work supports caregivers in parenting skills, resource navigation, selfcare, addressing stigma/shame, and developing informal support networks to share joys, successes and challenges.</Desc>
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        <Desc>Increasing public awareness of FASD: Our prevention work includes various endeavors to increase public awareness about FASD and the impact of prenatal alcohol exposure. We partnered with Preston Spire to implement a statewide public awareness campaign that achieved 81 million social media impressions. The campaign targeted women in Minnesota ages 18-25. Public awareness materials were distributed through exhibiting at in-person and virtual community events, providing custom wine bags to liquor stores with an FASD message, and online orders of materials to be shared in settings throughout the state. Through all our public awareness efforts, we have been able to distribute 62,779 Proof Alliance public awareness materials across the state of Minnesota. In 2023, we continued growing the Our Children Are Sacred (OCAS) programming. OCAS is an initiative created by and for Indigenous people to reduce the impact of FASD in Indigenous communities. This work is guided by a co-creation team comprised of 15 Indigenous leaders. In February, we hired our new OCAS Program Manager to oversee the work encompassed by OCAS.</Desc>
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        <Desc>Champion FASD-informed public policies: Proof Alliance initiates and champions public policies to improve equitable access to FASD-informed education, health care, housing and life-altering services to prevent prenatal alcohol exposure and improve the quality of life for families impacted by an FASD.</Desc>
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      <OtherExpensesIncludedAmt>22887</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>22887</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>4240863</ExpensesSubtotalAmt>
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      <TotalExpensesPerForm990Amt>4240863</TotalExpensesPerForm990Amt>
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        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>Accounting standards require the Organization to evaluate positions taken by the Organization and recognize a tax liability (or asset) if the Organization has taken an uncertain position that more likely than not would not be sustained upon examination by applicable tax authorities. Management has analyzed tax positions taken by the Organization and has concluded that as of December 31, 2023 and 2022, there are no uncertain positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the financial statements. The Organization is subject to routine audits by taxing jurisdictions; however there are currently no audits for any tax periods in progress.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990</FormAndLineReferenceDesc>
        <ExplanationTxt>Fundraising expenses - 22887</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990</FormAndLineReferenceDesc>
        <ExplanationTxt>Fundraising expenses - 22887</ExplanationTxt>
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        <Event1Nm>Proof Alliance Benefit 2023</Event1Nm>
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        <GrossRevenueEvent1Amt>10541</GrossRevenueEvent1Amt>
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        <FoodAndBeverageEvent1Amt>1440</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>5850</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>514</OtherDirectExpensesEvent1Amt>
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        <FoodAndBeverageTotalEventsAmt>1440</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>5850</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>514</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>22887</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-12346</NetIncomeSummaryAmt>
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      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
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        <RecipientBusinessName>
          <BusinessNameLine1Txt>Avivo</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1900 Chicago Ave S</AddressLine1Txt>
          <CityNm>Minneapolis</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55404</ZIPCd>
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        <RecipientEIN>410828779</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>250399</CashGrantAmt>
        <PurposeOfGrantTxt>FASD SERVICES</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Division of Indian Work</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1001 E Lake Street</AddressLine1Txt>
          <CityNm>Minneapolis</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55407</ZIPCd>
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        <RecipientEIN>815265328</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>66322</CashGrantAmt>
        <PurposeOfGrantTxt>FASD SERVICES</PurposeOfGrantTxt>
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        <RecipientBusinessName>
          <BusinessNameLine1Txt>Family Service Rochester</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>4600 18th Ave NW</AddressLine1Txt>
          <CityNm>Rochester</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55901</ZIPCd>
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        <RecipientEIN>410883453</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>246770</CashGrantAmt>
        <PurposeOfGrantTxt>FASD SERVICES</PurposeOfGrantTxt>
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        <RecipientBusinessName>
          <BusinessNameLine1Txt>Minneapolis American Indian Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1530 E Franklin Avenue</AddressLine1Txt>
          <CityNm>Minneapolis</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55404</ZIPCd>
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        <RecipientEIN>410966005</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>36078</CashGrantAmt>
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          <BusinessNameLine1Txt>Minnesota Indian Women's Resource Center</BusinessNameLine1Txt>
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          <AddressLine1Txt>2300 15th Ave S</AddressLine1Txt>
          <CityNm>Minneapolis</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55404</ZIPCd>
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        <RecipientEIN>411500950</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>43146</CashGrantAmt>
        <PurposeOfGrantTxt>FASD SERVICES</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Native American Community Clinic</BusinessNameLine1Txt>
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          <AddressLine1Txt>1213 E Franklin Avenue</AddressLine1Txt>
          <CityNm>Minneapolis</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55404</ZIPCd>
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        <RecipientEIN>030445789</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>52797</CashGrantAmt>
        <PurposeOfGrantTxt>FASD SERVICES</PurposeOfGrantTxt>
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        <RecipientBusinessName>
          <BusinessNameLine1Txt>SOUTHERN MN REGIONAL LEGAL SERVICES INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>55 E Fifth Street Suite 800</AddressLine1Txt>
          <CityNm>St Paul</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55101</ZIPCd>
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        <RecipientEIN>411316151</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>72677</CashGrantAmt>
        <PurposeOfGrantTxt>FASD SERVICES</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>Wayside Recovery Center</BusinessNameLine1Txt>
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          <AddressLine1Txt>3705 Park Center BLVD</AddressLine1Txt>
          <CityNm>St Louis park</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55416</ZIPCd>
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        <RecipientEIN>410873104</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>465181</CashGrantAmt>
        <PurposeOfGrantTxt>FASD SERVICES</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Wellcome Manor Family Services</BusinessNameLine1Txt>
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          <AddressLine1Txt>114 W Pleasant Street PO BOX 238</AddressLine1Txt>
          <CityNm>Garden City</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
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        <RecipientEIN>208341986</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>48367</CashGrantAmt>
        <PurposeOfGrantTxt>FASD SERVICES</PurposeOfGrantTxt>
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        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.</FormAndLineReferenceDesc>
        <ExplanationTxt>Through our community grants program, we grant out funds to community organizations that provide support or services relevant to Fetal Alcohol Spectrum Disorders. The grant process is a competitive one and includes identifying funding priorities, developing an application, hosting a pre-proposal conference, conducting site visits, and convening a proposal review committee to review and score the applications. The selected proposals also go through a financial responsibility review. The names, scope, and score of the proposers that meet financial responsibility are reviewed by the MDH grant manager prior to the contract negotiation and execution process.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4a Severance or change-of-control payment</FormAndLineReferenceDesc>
        <ExplanationTxt>SOME EMPLOYEES RECEIVED A SEVERANCE PAYMENT DURING THE CALENDER YEAR. THE TERMS AND CONDITIONS OF THE CONFIDENTIAL SEVERANCE AGREEMENT ARE AVAILABLE TO THE INTERNAL REVENUE SERVICE UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 43,576 including grants of $ 0)(Revenue $ 10,074) Champion FASD-informed public policies: Proof Alliance initiates and champions public policies to improve equitable access to FASD-informed education, health care, housing and life-altering services to prevent prenatal alcohol exposure and improve the quality of life for families impacted by an FASD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS RECEIVE THE COMPLETED FORM 990 REPORT FROM THE EXECUTIVE DIRECTOR. THEY ARE GIVEN 1-2 WEEKS TO REVIEW THE DOCUMENT, ASK QUESTIONS, AND CHECK FOR ACCURACY BEFORE THE FORM 990 IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>ANYONE DEEMED TO HAVE A CONFLICT OF INTEREST WILL BE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM. ALL CONFLICT OF INTEREST FORMS ARE VOTED ON AT THE NEXT BOARD MEETING. THE BOARD VERBALLY VOTES ON WHETHER OR NOT TO ACCEPT THE CONFLICT OF INTEREST. THE APPROVAL FORMS ARE STORED IN THE APPROPRIATE FILES. THESE FORMS ARE REQUIRED TO BE COMPLETED ANNUALLY OR WHENEVER A NEW CONFLICT ARISES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE OF THE BOARD NEGOTIATES THE SALARY FOR THE EXECUTIVE DIRECTOR BASED ON INDUSTRY STANDARDS AND THE APPROVED BUDGET. THE BOARD PRESIDENT AUTHORIZES THE SALARY OR PAY INCREASE AND INFORMS THE EXECUTIVE DIRECTOR AND THE DIRECTOR OF FINANCE. THE DIRECTOR OF FINANCE CONFIRMS THE SALARY ADJUSTMENT WITH THE PRESIDENT. THE PROGRAM DIRECTORS AND MANAGERS NEGOTIATE THE SALARIES OF OTHER OFFICERS AND KEY EMPLOYEES BASED ON INDUSTRY STANDARDS AND THE APPROVED BUDGET AND THE EXECUTIVE DIRECTOR SIGNS AN OFFER LETTER. ANNUALLY ALL STAFF ARE ELIGIBLE FOR A COST OF LIVING INCREASE THAT IS UNIFORM THROUGHOUT ALL POSITIONS AND IS BASED ON THE NET REVENUE FROM THE MOST RECENTLY COMPLETED FISCAL YEAR, FUNDRAISING REVENUE, GRANT/CONTRACT REVENUE AND STABILITY, AND THE US ECONOMY. WHEN EMPLOYEES ARE GIVEN MERIT INCREASES OR PROMOTIONS OR STATUS CHANGES, A CONFIRMATION LETTER/EMAIL IS CREATED BY THE DIRECTOR OF FINANCE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ANNUAL REPORT AND AUDIT IS AVAILABLE ON THE PROOF ALLIANCE WEBSITE. ADDITIONAL FINANCIAL STATEMENT AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC BY CONTACTING PROOF ALLIANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTING - Total Expense: 284073, Program Service Expense: 284073, Management and General Expenses: , Fundraising Expenses: ; EVALUATION - Total Expense: 173299, Program Service Expense: 173299, Management and General Expenses: , Fundraising Expenses: ; PAYROLL PROCESSING - Total Expense: 2854, Program Service Expense: 2854, Management and General Expenses: , Fundraising Expenses: ; Other Contract Services - Total Expense: -11833, Program Service Expense: 16482, Management and General Expenses: -33031, Fundraising Expenses: 4716;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c Change of oversight process or selection process</FormAndLineReferenceDesc>
        <ExplanationTxt>The finance committee of the Board assumes responsibility for audit review, tax form reviews, and other financials as needed.</ExplanationTxt>
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