2012-04-23T14:50:52-05:00 2011-12-31 420714325 MCGLADREY & PULLEN LLP 801 NICOLLET MALL SUITE 1100 MINNEAPOLIS MN 55402 990PF 2011-01-01 411873951 THE PATCH FOUNDATION PATC 6127817677 3201 RANKIN ROAD MINNEAPOLIS MN 55418 CAROLYN SAMPLE 6127817677 2012-04-18 1 TODD A JACKSON P00092672 6123324300 2011 2016-02-24 21:20:13Z X 6707797 X 7551 170426 146575 0 270000 0 177977 146575 0 0 0 1700 1700 0 2117 0 0 61 0 25 3878 1700 25 516000 516000 519878 1700 516025 -341901 144875 91236 29262 29262 234199 224272 224272 795000 525000 545354 354571 354571 408559 4144953 4144953 5500350 5619959 5278058 6707797 0 0 X 0 0 0 0 5619959 5278058 5619959 5278058 5619959 5278058 5619959 -341901 0 5278058 0 5278058 ANOKA CNTY MINN PUB SAFETY RADIO SYS-SER D P 2008-12-23 2011-02-01 150000 160301 -10301 -10301 WARROAD MINN INDPT SCH DIST NO 690 RFDG-SCH BLDG-SER A P 2008-12-23 2011-02-01 120000 659452 -539452 -539452 -549753 0 420225 6583022 0.063835 353125 6380069 0.055348 959585 1974911 0.485888 119325 1259839 0.094714 120875 1288992 0.093775 0.793560 0.158712 6563116 1041645 1449 1043094 516025 2898 0 2898 0 2898 2800 2800 98 0 0 0 0 0 0 0 0 0 0 1 1 MN 1 0 0 0 0 1 N/A THE FOUNDATION 6127817677 3201 RANKIN ROAD MINNEAPOLIS MN 55418 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 WILLIAM C PETERSON 1245 NORTH COURT NEW BRIGHTON MN 55112 0.50 0 0 0 CAROLYN SAMPLE 3201 RANKIN RD MINNEAPOLIS MN 55418 2.00 0 0 0 ERNEST LINDSTROMLINDSTROM LAW OFFIC 7600 PARKLAWN AVE 444 EDINA MI 55435 0.50 0 0 0 NONE 0 NONE 0 0 6397584 265478 0 6663062 0 0 6663062 99946 6563116 328156 328156 2898 2898 325258 0 325258 0 325258 516025 0 516025 0 516025 325258 0 0 58739 56531 862119 37229 93591 1108209 516025 0 0 0 325258 190767 0 0 1298976 0 0 0 0 0 0 58739 1240237 56531 862119 37229 93591 190767 CAROLYN P SAMPLE 3201 RANKIN ROAD NE MINNEAPOLIS MN 55418 6127817677 SEE STATEMENT 7 SEE STATEMENT 7 SEE STATEMENT 7 AMERICAN HEART ASSOCIATION 4701 WEST 77TH STREET MINNEAPOLIS MN 55435 NONE PUBLIC CHARITY PROGRAM SUPPORT - HEALTH ASSOCIATION 1000 AMERICAN LUNG ASSOCIATION PO BOX 7000 ALBERT LEA MN 56007 NONE PUBLIC CHARITY PROGRAM SUPPORT - HEALTH ASSOCIATION 1000 ARC OF HENNEPIN COUNTY 106 NORTH CHESTNUT STREET CHASKA MN 55318 NONE PUBLIC CHARITY PROGRAM SUPPORT - COMMUNITY ORGANZATION 5000 CAMP KNUTSON 11169 WHITE FISH AVENUE CROSSLAKE MN 56442 NONE PUBLIC CHARITY PROGRAM SUPPORT - RELIGIOUS 5000 CARE 151 ELLIS STREET NE ATLANTA GA 30303 NONE PUBLIC CHARITY PROGRAM SUPPORT 5000 CATHOLIC CHARITIES 1200 SECOND AVENUE SO MINNEAPOLIS MN 55403 NONE RELIGIOUS PROGRAM SUPPORT - RELIGIOUS 5000 CHILDREN'S HOME SOCIETY 1605 EUSTIS STREET ST PAUL MN 55108 NONE PUBLIC CHARITY PROGRAM SUPPORT - COMMUNITY ORGANIZATION 3000 COURAGE CENTER 3915 GOLDEN VALLEY ROAD MINNEAPOLIS MN 55422 NONE PUBLIC CHARITY PROGRAM SUPPORT - COMMUNITY ORGANIZATION 7000 COVENANT RETIREMENT COMMUNITIES OF MN 5800 ST CROIX AVENUE N GOLDEN VALLEY MN 55422 NONE RELIGIOUS PROGRAM SUPPORT - RELIGIOUS 5000 COVENANT WORLD RELIEF 5101 NORTH FRANCISCO AVENUE CHICAGO IL 60625 NONE RELIGIOUS PROGRAM SUPPORT - RELIGIOUS 75000 DUNWOODY COLLEGE OF TECHNOLOGY 818 DUNWOODY BLVD MINNEAPOLIS MN 55403 NONE EDUCATIONAL PROGRAM SUPPORT - EDUCATION 5000 EAST SIDE NEIGHBORHOOD 1700 SECOND STREET NE MINNEAPOLIS MN 55413 NONE PUBLIC CHARITY PROGRAM SUPPORT - COMMUNITY ORGANIZATION 2000 EVANGELICAL COVENANT CHURCH 5101 NORTH FRANCISCO AVENUE CHICAGO IL 60625 NONE RELIGIOUS PROGRAM SUPPORT- RELIGIOUS 100000 FEED MY STARVING CHILDREN 401 93RD AVE NW COON RAPIDS MN 55433 NONE RELIGIOUS PROGRAM SUPPORT - RELIGIOUS 5000 FRIENDSHIP VENTURES 10509 108TH STREET NW ANNANDALE MN 55302 NONE PUBLIC CHARITY PROGRAM SUPPORT - COMMUNITY ORGANZATION 7000 GREATER MINNEAPOLIS CRISIS NURSERY 5400 GLENWOOD AVE GOLDEN VALLEY MN 55422 NONE PUBLIC CHARITY PROGRAM SUPPORT - COMMUNITY ORGANZATION 2000 HABITAT FOR HUMANITY 121 HABITAT STREET AMERICUS GA 31709 NONE PUBLIC CHARITY PROGRAM SUPPORT - COMMUNITY ORGANZATION 5000 HOMEWARD BOUND 13895 INDUSTRIAL PARK BLVD 100 PLYMOUTH MN 55441 NONE PUBLIC CHARITY PROGRAM SUPPORT - HEALTH ASSOCIATION 7000 HOUSE OF CHARITY 510 SOUTH EIGHTH STREET MINNEAPOLIS MN 55404 NONE PUBLIC CHARITY PROGRAM SUPPORT - COMMUNITY ORGANZATION 12000 KIWANIS CLUB OF NE MPLS C/O WALT SENTYRZ 1612 SECOND ST NE MINNEAPOLIS MN 554131138 NONE PUBLIC CHARITY PROGRAM SUPPORT - COMMUNITY ORGANZATION 1000 LITTLE BROTHERS FRIENDS OF THE ELDERLY 1845 EAST LAKE STREET MINNEAPOLIS MN 55407 NONE PUBLIC CHARITY PROGRAM SUPPORT - COMMUNITY ORGANZATION 8000 LITTLE SISTERS OF THE POOR 330 EXCHANGE STREET S ST PAUL MN 55102 NONE RELIGIOUS PROGRAM SUPPORT - RELIGIOUS 3000 LOAVES AND FISHES 1917 LOGAN AVENUE SOUTH MINNEAPOLIS MN 55403 NONE RELIGIOUS PROGRAM SUPPORT - RELIGIOUS 5000 MARCH OF DIMES 1275 MAMARONECK AVENUE WHITE PLAINS NY 10605 NONE PUBLIC CHARITY PROGRAM SUPPORT - HEALTH ASSOCIATION 1000 METRO HOPE MINISTRIES 2739 CEDAR AVENUE SOUTH MINNEAPOLIS MN 55407 NONE PUBLIC CHARITY PROGRAM SUPPORT - COMMUNITY ORGANZATION 20000 MINNEAPOLIS HEART INSTITUTE FOUNDATION 920 EAST 28TH STREET 100 MINNEAPOLIS MN 55407 NONE PUBLIC CHARITY PROGRAM SUPPORT - HEALTH ASSOCIATION 5000 MINNESOTA TEEN CHALLENGE 1619 PORTLANT AVENUE SOUTH MINNEAPOLIS MN 55404 NONE PUBLIC CHARITY PROGRAM SUPPORT - COMMUNITY ORGANZATION 10000 NORTHEAST SENIOR SERVICES 2580 KENZIE TERRACE SUITE 2A ST ANTHONY MN 55418 NONE PUBLIC CHARITY PROGRAM SUPPORT - COMMUNITY ORGANZATION 3000 PEOPLE SERVING PEOPLE 614 SOUTH THIRD STREET MINNEAPOLIS MN 55415 NONE PUBLIC CHARITY PROGRAM SUPPORT - COMMUNITY ORGANZATION 10000 SALEM COVENANT CHURCH 2655 FIFTH STREET NW NEW BRIGHTON MN 55112 NONE RELIGIOUS PROGRAM SUPPORT - RELIGIOUS 75000 SECOND HARVEST FOOD BANK 1140 GERVAIS AVENUE ST PAUL MN 55109 NONE PUBLIC CHARITY PROGRAM SUPPORT - COMMUNITY ORGANZATION 10000 SIMPSON HOUSING SERVICES 2740 FIRST AVENUE SOUTH MINNEAPOLIS MN 55408 NONE PUBLIC CHARITY PROGRAM SUPPORT - COMMUNITY ORGANZATION 10000 SISTER KENNY INSTITUTE 800 EAST 28TH STREET MINNEAPOLIS MN 55407 NONE PUBLIC CHARITY PROGRAM SUPPORT - HEALTH ASSOCIATION 7000 SUNSHINE ACRES 3405 NORTH HIGLEY ROAD MESA AZ 85215 NONE PUBLIC CHARITY PROGRAM SUPPORT 5000 THE GIDEONS PO BOX 140800 NASHVILLE TN 37214 NONE PUBLIC CHARITY PROGRAM SUPPORT - COMMUNITY ORGANZATION 3000 THE SALVATION ARMY 2445 PRIOR AVENUE NORTH ROSEVILLE MN 55113 NONE RELIGIOUS PROGRAM SUPPORT - RELIGIOUS 50000 UNION GOSPEL MISSION 77 NINTH STREET E ST PAUL MN 55101 NONE PUBLIC CHARITY PROGRAM SUPPORT - COMMUNITY ORGANZATION 7000 UNIVERSITY OF MINNESOTA FOUNDATION 200 OAK STREET SE 500 MINNEAPOLIS MN 55455 NONE EDUCATIONAL PROGRAM SUPPORT - EDUCATION 25000 SHARING & CARING HANDS 525 NORTH 7TH STREET MINNEAPOLIS MN 554051523 NONE PUBLIC CHARITY PROGRAM SUPPORT - COMMUNITY ORGANZATION 1000 516000 0 14 170426 18 0 170426 0 170426 0 0 0 0 0 0 0 0 0 0 X X 1 ESTATE OF EARL PATCH 3201 RANKIN ROAD MINNEAPOLIS MN 554182505 7551 X ACCOUNTING FEES 1700 1700 0 3M 157950 159374 TECO 32621 36385 CHEVRON 164000 212800 0 0 525000 545354 O.N. EQUITY - MEDTRONIC STOCK AT COST 4144953 5500350 STATE OF MN FILING FEE 25 0 25 MISCELLANEOUS 36 0 0 FEDERAL EXCISE TAX PAID - 12/31/2010 0 0 0 ESTIMATED EXCISE TAX PAID - CURRENT YEAR 2117 0 0