2012-08-10T10:15:51-05:00 2011-12-31 411834878 BURR OAK GROUP INC 1660 S HWY 100 PARKDALE 426 ST LOUIS PARK MN 55416 990PF 2011-01-01 411859474 LOUIS FOUNDATION LOUI 9525121165 1660 S HWY 100 PARKDALE PLAZA NO 426 ST LOUIS PARK MN 55416 PENELOPE HATTEN 9525121165 2012-08-10 JOANNE KLETSCHER P01084498 2011 2016-02-24 21:20:13Z X 2989331 X 464264 7226 7226 29717 29717 242073 69698 242073 37473 -1991 780753 277025 0 0 0 39150 39150 0 655 630 25 69 0 0 39874 39780 25 148000 148000 187874 39780 148025 592879 237245 928 908 908 562987 451595 451595 1825813 2530104 2536828 2389728 2982607 2989331 0 0 X 1599542 1599542 0 0 790186 1383065 2389728 2982607 2389728 2982607 2389728 592879 0 2982607 0 2982607 23 SHARE AMYRIS P 2009-03-01 2011-11-30 625 325 300 300 812 ISHARES RUSSELL 3000 INDEX FUND P 2003-08-12 2011-06-16 61418 45293 16125 16125 277.86 SHARES TESLA MOTORS INC. P 2008-02-15 2011-01-07 7653 1038 6615 6615 EVERGREEN SMALLCAP FUND P -3576 -3576 EVERGREEN SMALLCAP FUND P 13652 13652 LARGE CAP CORE P 30550 30550 LARGE CAP CORE P 145896 145896 EVERGREEN SHORT TERM FIXED INCOME P 472 472 EVERGREEN SMALLCAP FUND II P -3569 -3569 EVERGREEN SMALLCAP FUND II P 30730 30730 EVERGREEN HIGHBRIDGE P -5816 -5816 EVERGREEN HIGHBRIDGE P 2714 2714 POCKET LLC P 3228 3228 POCKET LLC P 2133 2133 POCKET LLC P 2617 2617 CAPITAL GAINS DIVIDENDS P 2 2 2 242073 0 213548 2310249 0.092435 103025 2052541 0.050194 120025 2368097 0.050684 70025 2520168 0.027786 90025 2092322 0.043026 0.264125 0.052825 2817323 148825 2372 151197 148025 4745 0 4745 0 4745 2388 7000 9388 4643 4643 0 0 0 0 0 0 0 0 0 0 0 0 1 MN 1 0 0 0 0 1 N/A PENELOPE HATTEN 9525121165 1660 S HWY 100STE 426 ST LOUIS PARK MN 55416 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PENELOPE B HATTEN 1660 S HWY 100 PARKDALE PLAZA STE 426 ST LOUIS PARK MN 55416 0.00 0 0 0 DEAN E HATTEN 1660 S HWY 100 PARKDALE PLAZA STE 426 ST LOUIS PARK MN 55416 0.00 0 0 0 NONE 0 NONE 0 0 2449842 410384 0 2860226 0 0 2860226 42903 2817323 140866 140866 4745 4745 136121 0 136121 0 136121 148025 0 148025 0 148025 136121 0 0 1816 436 100990 103242 148025 0 0 0 136121 11904 0 0 115146 0 0 0 0 0 0 0 115146 1816 436 100990 11904 X PENELOPE B HATTEN 1660 S HWY 100 PARKDALE PLAZA SUITE 426 ST LOUIS PARK MN 55416 9525121165 PAST AND PRESENT INFORMATION ABOUT THE APPLICANT, BUDGET, PROJECTIONS, USE OF FUNDS, OTHER FUND RAISING EFFORTS, TAX EXEMPTION LETTER, ETC. NONE NONE HEADWATERS ACADEMY 418 WEST GARFIELD STREET BOZEMAN MT 59715 PUBLIC CHARITY BUILD CONFIDENT CAPABLE ADAPTABLE LEARNERS AND LEADERS FOR THE WORLD 98000 THRIVE 400 EAST BABCOCK STREET BOZEMAN MT 59715 PUBLIC CHARITY LOCAL CHILDREN AND FAMILIES RECEIVE SUPPORT AND RESOURCES NEEDED 50000 148000 0 14 7226 14 29717 14 37473 14 242073 0 316489 0 316489 0 0 0 0 0 0 0 0 0 0 X X 1 CHARITABLE LEAD ANNUITY TRUST NO 1 1660 S HWY 100 PARKDALE PLAZA STE 4 ST LOUIS PARK MN 55416 173876 X 2 CHARLES H BELL CHARITABLE LEAD ANNU 1660 S HWY 100 PARKDALE PLAZA STE 4 ST LOUIS PARK MN 55416 16230 X 3 ANITA GRAY TRUST 2930 AIRPORT ROAD PIERRE SD 57501 274158 X 3 $21,770 CASH AND 812 ISHARES RUSSELL 3000 INDEX AND 20,134.81 SHARES PIMCO LOW DURATION FUND 296164 2011-06-07 ACCOUNTING FEES 16242 16242 0 EVERGREEN HIGHBRIDGE FUND 1865 1865 0 EVERGREEN SMALLCAP FUND 522 522 0 LARGE CAP CORE I 9770 9770 0 EVERGREEN SMALLCAP FUND II 787 787 0 EVERGREEN SHORT TERM FIXED INCOME 330 330 0 POCKET LLC 9634 9634 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 AMERICAN EURO-PACIFIC FUND AT COST 132932 115431 EVERGREEN SMALLCAP FUND II AT COST 148939 173521 EVERGREEN LARGE CAP CORE 1 AT COST 1001614 1029994 EVERGREEN SMALLCAP FUND AT COST 119668 124455 J.P. MORGAN U.S. REAL ESTATE AT COST 78946 41717 J.P.MORGAN REIT AT COST 20 20 INVESCO REAL ESTATE FUND I, L.P. AT COST 62114 41098 WAYZATA OPPORTUNITY FUND, LLC AT COST 18745 36663 WAYZATA OPPORTUNITY FUND II, LLC AT COST 39195 62945 WAYZATA OPPORTUNITY FUND LLC IA AT COST 7045 6000 WESTLY CAPITAL PARTNERS FUND AT COST 19326 12713 VANGUARD FTSE ALL-WORLD AT COST 120005 110941 EVERGREEN HIGHBRIDGE FUND AT COST 110653 108911 EVERGREEN SHORT TERM FIXED INCOME AT COST 405632 406948 PIMCO LOW DURATION AT COST 206988 207189 EUROPEAN SECONDARY OPPORTUNITIES AT COST 10911 10911 HARRISON STREET REAL ESTATE PARTNERS AT COST 40000 40000 WESTLY PARTNERS II AT COST 7371 7371 BANK CHARGES 69 0 0 PARTNERSHIP INCOME 37179 0 37179 EVERGREEN HIGHBRIDGE FUND 294 294 294 MN FILING FEE 25 0 25 BURR OAK GROUP, INC. 621 621 0 LARGE CAP CORE 9 9 0