2017-10-10T10:27:05-05:00 2016-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2016-01-01 473064122 MIND SHIFT MIND 3024684560 6110 BLUE CIRCLE DRIVE SUITE 220 HOPKINS MN 55343 TONY THOMANN EXECUTIVE DIRECTOR 3024684560 2017-05-08 1 MATTHEW STOWELL P01587994 6123764500 67.137.57.251 2017-05-08 16:07:00 CD P EB257C677C23210A1BABF3CC3C8E15734A982BF5 EB257C677C23210A1BABF3CC3C8E15734A982BF5 2016 2021-01-29 14:40:06Z X TONY THOMANN 6110 BLUE CIRCLE DRIVE SUITE 220 HOPKINS MN 55343 771441 0 X WWW.MINDSHIFT.WORKS X 2015 MN RECRUIT, ASSESS, TRAIN AND EMPLOY INDIVIDUALS WITH AUTISM SPECTRUM DISORDER AND SIMILAR CHALLENGES FOR DETAIL-ORIENTED OCCUPATIONS. 9 8 26 8 0 0 235717 499481 89669 265064 0 2 0 6894 325386 771441 0 0 0 0 134104 540950 0 0 17485 103454 131415 237558 672365 87828 99076 126952 227545 39124 40641 87828 186904 THROUGH MIND SHIFT'S SELF-SUSTAINING MODEL, BUSINESSES BENEFIT FROM THE DETAIL-ORIENTED SKILLS OF PEOPLE ON THE AUTISM SPECTRUM WHILE PROVIDING MEANINGFUL, SUSTAINABLE EMPLOYMENT. 0 0 369434 0 265064 MIND SHIFT IS DRIVING THE NATIONWIDE EXPANSION OF THE PROVEN INTERNATIONAL JOB CREATION AND EMPLOYMENT CONCEPT, SPECIALISTERNE ("THE SPECIALISTS"). WE ASSESS, TRAIN AND EMPLOY INDIVIDUALS WITH AUTISM AS CONSULTANTS IN INFORMATION TECHNOLOGY AND OTHER SECTORS WITH TECHNICALLY ORIENTED TASKS AND JOBS, WITH 80-90% OF OUR EMPLOYEES WORKING AT CORPORATE PARTNER SITES. 369434 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 5 0 1 26 1 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 MN X CLIFTONLARSONALLEN LLP 6123973054 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 TIM HANSON BOARD CHAIR 1.00 X X 0 0 0 STEVE KOWALKE TREASURER 1.00 X X 0 0 0 TODD LINDBERG SECRETARY 1.00 X X 0 0 0 LARRY ALTRINGER DIRECTOR 1.00 X 0 0 0 MICHELLE BEDARD DIRECTOR 1.00 X 0 0 0 TIM EISSINGER DIRECTOR 1.00 X 0 0 0 ERIC MONSON DIRECTOR 1.00 X 0 0 0 JOSH TEIGEN DIRECTOR 1.00 X 0 0 0 TONY THOMANN EXECUTIVE DIRECTOR 40.00 X X 84448 0 10052 84448 0 10052 0 0 0 0 0 101177 398304 50287 499481 FEE REVENUE 624310 265064 265064 265064 2 2 OTHER REVENUE 900099 6894 6894 6894 771441 265064 0 6896 94500 56700 28350 9450 387604 180393 207211 17809 16144 1665 41037 24622 12311 4104 33074 29767 3307 14382 12945 1437 2889 1733 867 289 8344 3750 4594 7512 4507 2254 751 33806 30425 3381 11479 10331 1148 7677 6909 768 MISCELLANEOUS 8045 4828 2412 805 DUES AND SUBSCRIPTIONS 4207 2524 1262 421 672365 369434 285446 17485 113677 88101 11261 124433 2014 15011 126952 227545 20463 40641 18661 0 39124 40641 X 12828 186904 75000 0 87828 186904 126952 227545 99076 0 X X 1 X 0 1 0 X 235717 499481 735198 89669 265064 354733 325386 764545 1089931 0 0 0 1089931 2 2 2 2 6894 6894 325386 771441 1096827 X PART III, SHORT YEAR EXPLANATION: THE ORGANIZATION FORMED ON FEBRUARY 9, 2015. THEREFORE, THE 2015 TAX YEAR IS A SHORT YEAR AND REFLECTS ACTIVITY FOR THE PERIOD FEBRUARY 9-DECEMBER 31, 2015. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 1 50287 STOCK MARKET QUOTES 0 0 0 0 PART I, COLUMN (B): THE ORGANIZATION REPORTS THE NUMBER OF CONTRIBUTORS ON PART I, COLUMN B. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE IS COMPRISED OF THE BOARD CHAIR, THE BOARD TREASURER AND THE EXECUTIVE DIRECTOR. WHILE THE EXECUTIVE COMMITTEE HAS NO OVERRIDING AUTHORITY, IT DOES DETERMINE IF THERE IS A NEED TO CALL FOR AN ELECTRONIC VOTE ON ANY ITEMS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND REVIEWED BY MANAGEMENT. THE BOARD OF DIRECTORS REVIEWED THE FORM 990 PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH RESPONSIBLE PERSON SHALL ANNUALLY COMPLETE A DISCLOSURE FORM IDENTIFYING ANY RELATIONSHIPS, POSITIONS OR CIRCUMSTANCES IN WHICH THE RESPONSIBLE PERSON IS INVOLVED THAT HE OR SHE BELIEVES COULD CONTRIBUTE TO A CONFLICT OF INTEREST ARISING. THE PERSON WHO HAS A POTENTIAL CONFLICT OF INTEREST SHALL NOT PARTICIPATE IN ANY DISCUSSIONS EXCEPT TO DISCLOSE FACTS REGARDING THE CONFLICT OF INTEREST. THE PERSON WILL NOT BE PERMITTED TO VOTE IN RESPECT TO THE POTENTIAL CONFLICT. ALL DISCLOSURE OF CONFLICTS OF INTERESTS SHOULD BE MADE TO THE SECRETARY OF THE BOARD, (BOARD CHAIR IF THE SECRETARY IS THE ONE WITH THE CONFLICT). THE SECRETARY OF THE BOARD WILL THEN REFER THE CONFLICT OF INTEREST TO THE EXECUTIVE COMMITTEE. ALL CONFLICTS ARE DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE DIRECTOR'S BASE SALARY WAS DETERMINED BY THE BOARD OF DIRECTORS BASED ON A REVIEW OF EXECUTIVE DIRECTOR SALARIES OF COMPARABLE ORGANIZATIONS FOR COMPARABLE SERVICES IN THE TWIN CITIES AREA. THE VOTE BY THE BOARD WAS RECORDED IN THE MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM PRIOR YEARS.