Exhibit A.pdf

May 9, 2023

To Whom It May Concern:

This letter is to confirm that Truth Initiative is the owner, operator, and sole provider of This is Quitting, a text messaging program that helps young people quit vaping.

Developed by Truth Initiative and leveraging the power of the truth® brand, This is Quitting provides text messages to support teens and young adults on their journey to quit vaping.

Designed to deliver a peer-to-peer experience, the program incorporates messages from young people who have attempted to, or successfully quit, e-cigarettes. Our messages show the real side of quitting – both the ups and downs – to help young people feel motivated, inspired, and supported throughout their quitting process. The program also delivers evidence-based tips and strategies to quit nicotine and stay quit. To enroll in This is Quitting, teens and young adults text DITCHVAPE to 88709.

The program was evaluated in a rigorous randomized controlled trial which showed that This is Quitting increased the odds of quitting among young adults aged 18-24 by nearly 40% compared to a control group. These findings were published in May 2021 in JAMA Internal Medicine. A similar study is currently being conducted among a sample of roughly 1,700 teens aged 13-17, which we anticipate completing in 2023.

Truth Initiative enables third parties, such as the State of Oregon, to deliver This is Quitting to their constituents – in both English and Spanish – and receive aggregated and anonymized reporting on program usage, either quarterly or annually. We do this by setting up a unique keyword and call-to-action (e.g., text VAPEFREEOR to 88709) for the third party to promote to its constituents. This custom keyword enables us to report on enrollment, engagement, and quitting outcomes among those who enroll through the third party’s keyword. We also offer third parties the following options:

• 10 customizable messages in the text message library (“library customizations”) to be delivered to those who enroll through the third party’s keyword;

• co-branded promotional materials to help facilitate promotion of the program; and,

• a media campaign executed by Truth Initiative as an extension of its national Quitters campaign to drive awareness and adoption of its custom This is Quitting program in a specific state.

The package of options for third parties outlined above are only made available to third parties by Truth Initiative.

Exhibit A https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2779740?guestAccessKey=47c4d83e-5f45-4024-857a-2e296e550101&utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_content=tfl&utm_term=051721 https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2779740?guestAccessKey=47c4d83e-5f45-4024-857a-2e296e550101&utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_content=tfl&utm_term=051721

Becoming a client of This is Quitting will enable the State of Oregon to swiftly deliver an evidence-based vaping cessation program to teens and young adults (with separate, contextually relevant tracks for each) in Oregon and track the results of the program. The selection of additional options such as library customizations, co-branded promotional materials, and custom Quitters campaign enables third parties to further customize the program for their locales (including cross-promoting other local resources) and to leverage the equity from the truth/This is Quitting brand, which resonates with young people.

If I can provide additional information, please don’t hesitate to contact me at (202) 454-5938 or agraham@truthinitiative.org.

Sincerely, Amanda L. Graham, PhD Chief of Innovations Professor of Medicine, Mayo Clinic College of Medicine and Science agraham@truthinitiative.org mailto:agraham@truthinitiative.org mailto:agraham@truthinitiative.org