KHAN FAMILY FOUNDATION: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- KHAN FAMILY FOUNDATION (EIN 27-1481206)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202213199349101236
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990-PF
- Schedule B
- Investments Other Schedule2
- Other Decreases Schedule
- Other Expenses Schedule
- Substantial Contributors Sch
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-15T08:34:55-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381915036 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JAFFE RAITT HEUER & WEISS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 27777 FRANKLIN ROAD SUITE 2500 | AddressLine1Txt |
| City | SOUTHFIELD | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 480348214 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 271481206 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KHAN FAMILY FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | KHAN | BusinessNameControlTxt |
| Phone | 3132772977 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 861 MONROE STREET | AddressLine1Txt |
| City | DEARBORN | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48124 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHABANA KHAN | PersonNm |
| Person Title | VICE-PRESIDENT | PersonTitleTxt |
| Phone | 3132772977 | PhoneNum |
| Signature | 2022-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | SHABANA | PersonFirstNm |
| Person Last | KHAN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AARON H SHERBIN ESQ | PreparerPersonNm |
| PTIN | P00737718 | PTIN |
| Phone | 2483513000 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $779,322 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $85,000 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $3 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $3 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $20,149 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $20,149 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $61,749 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $504,674 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $61,749 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $166,901 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $81,901 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Taxes Rev And Expnss | $52 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $52 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $6,667 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $6,667 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $0 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $6,719 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $6,719 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $94,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $94,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $100,719 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $6,719 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $94,000 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $66,182 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $75,182 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $19,670 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $45,590 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $45,590 | SavAndTempCashInvstEOYFMVAmt |
| Acct Rcvbl BOY | $250 | AcctRcvblBOYAmt |
| Other Investments BOY | $725,242 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $733,732 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $733,732 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $745,162 | TotalAssetsBOYAmt |
| Total Assets EOY | $779,322 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $779,322 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $0 | CapitalStockBOYAmt |
| Capital Stock EOY | $0 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $745,162 | RetainedEarningBOYAmt |
| Retained Earning EOY | $779,322 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $745,162 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $779,322 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $745,162 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $779,322 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $745,162 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $66,182 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $811,344 | SubtotalAmt |
| Other Decreases | $32,022 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $779,322 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (4 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | Gross Sales PriceGrossSalesPriceAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | Cost Or Other BasisCostOrOtherBasisAmt |
|---|---|---|---|---|---|
| CHARLES SCHWAB ACCOUNT -7350 (CAPITAL GAINS) | P | $3,662 | $3,662 | $3,662 | |
| CIG ACCOUNT ACCOUNT -3255 | P | $185,925 | $17,855 | $17,855 | $168,070 |
| CIG ACCOUNT ACCOUNT -3255 | P | $209,155 | $38,306 | $38,306 | $170,849 |
| CHARLES SCHWAB ACCOUNT -7350 (CAPITAL GAINS) | P | $105,932 | $1,926 | $1,926 | $104,006 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $61,749 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $1,045 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $1,045 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $1,045 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $240 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $1,882 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $2,122 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $17 | EsPenaltyAmt |
| Overpayment | $1,060 | OverpaymentAmt |
| Applied To ES Tax | $1,060 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | MI | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | Yes (1) | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | JAFFE RAITT HEUER WEISS PC | IndividualWithBooksNm |
| Phone | 2483513000 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 27777 FRANKLIN ROAD SUITE 2500 | AddressLine1Txt |
| City | SOUTHFIELD | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 480348214 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| PARVEZ KHAN | ||||||||
| 861 MONROE STREET | DEARBORN | MI | 48124 | PRESIDENT, TRUSTEE | 0.20 | $0 | $0 | $0 |
| SHABANA KHAN | ||||||||
| 861 MONROE STREET | DEARBORN | MI | 48124 | VICE-PRESIDENT, TREASURER, | 0.20 | $0 | $0 | $0 |
| MOHIBA KHAN TAREEN | ||||||||
| 3021 E CALHOUN PARKWAY | MINNEAPOLIS | MN | 55408 | TRUSTEE | 0.10 | $0 | $0 | $0 |
| SAIRA HABIB KHAN | ||||||||
| 861 MONROE STREET | DEARBORN | MI | 48124 | TRUSTEE | 0.10 | $0 | $0 | $0 |
| OMAR KHAN | ||||||||
| 861 MONROE STREET | DEARBORN | MI | 48124 | TRUSTEE | 0.10 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $390,977 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $33,679 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $424,656 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $424,656 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $6,370 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $418,286 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $20,914 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $20,914 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $1,045 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $1,045 | TotalTaxAmt |
| Distributable Before Adj | $19,869 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $19,869 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $19,869 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $94,000 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $94,000 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $19,869 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $38,811 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $69,311 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $30,605 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $51,388 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $18,095 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $208,210 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $94,000 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $19,869 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $74,131 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $282,341 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $38,811 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $243,530 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $69,311 | ExcessFromYear4Amt |
| Excess From Year3 | $30,605 | ExcessFromYear3Amt |
| Excess From Year2 | $51,388 | ExcessFromYear2Amt |
| Excess From Year1 | $18,095 | ExcessFromYear1Amt |
| Excess From Current Year | $74,131 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | SHABANA KHAN | ContributingManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (15 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| AKSHAYA USA | |||||||
| 17359 EAST CALEY PLACE | AURORA | CO | 80016 | NONE | 501(C)(3) | GENERAL PURPOSE CONTRIBUTION | $5,000 |
| DOCTORS WITHOUT BORDERS | |||||||
| 40 RECTOR STREET 16TH FLOOR | NEW YORK | NY | 10006 | NONE | 501(C)(3) | GENERAL PURPOSE CONTRIBUTION | $1,000 |
| AMERICAN MUSLIM CENTER INC | |||||||
| 21110 OUTER DRIVE | DEARBORN | MI | 48124 | NONE | 501(C)(3) | GENERAL PURPOSE CONTRIBUTION | $27,000 |
| COUNCIL ON AMERICAN ISLAMIC RELATIONS (CAIR) | |||||||
| 30201 ORCHARD LAKE ROAD | FARMINGTON HILLS | MI | 48334 | NONE | 501(C)(3) | GENERAL PURPOSE CONTRIBUTION | $1,000 |
| DEARBORN EDUCATION FUND | |||||||
| 18700 AUDETTE STREET | DEARBORN | MI | 48124 | NONE | 501(C)(3) | GENERAL PURPOSE CONTRIBUTIONGENERAL PURPOSE CONTRIBUTION | $15,000 |
| FORGOTTEN HARVEST INC | |||||||
| 21800 GREENFIELD ROAD | OAK PARK | MI | 48237 | NONE | 501(C)(3) | GENERAL PURPOSE CONTRIBUTION | $7,500 |
| HOLOCAUST MEMORIAL CENTER | |||||||
| 28123 ORCHARD LAKE ROAD | FARMINGTON HILLS | MI | 48334 | NONE | 501(C)(3) | GENERAL PURPOSE CONTRIBUTION | $10,000 |
| ISLAMIC CENTER OF AMERICA INC | |||||||
| 19500 FORD ROAD | DEARBORN | MI | 48128 | NONE | PUBLIC CHARITY | GENERAL PURPOSE CONTRIBUTION | $1,000 |
| ISLAMIC SOCIETY OF NORTH AMERICA (ISNA) | |||||||
| 6555 S COUNTY ROAD 750 E | PLAINFIELD | IN | 46168 | NONE | RELIGIOUS ORGANIZATI | GENERAL PURPOSE CONTRIBUTION | $1,000 |
| JUSTICE FOR ALL - BURMA TASK FORCE | |||||||
| 27 E MONROE STREET SUITE 700 | CHICAGO | IL | 60603 | NONE | 501(C)(3) | GENERAL PURPOSE CONTRIBUTION | $1,000 |
| PLAY-PLACE AUTISM & SPECIAL NEEDS CENTER | |||||||
| 39337 MOUND ROAD | STERLING HEIGHTS | MI | 48310 | NONE | 501(C)(3) | GENERAL PURPOSE CONTRIBUTION | $1,000 |
| ORGANIZATION FOR MEDICAL EDUCATION & ECONOMIC DEVELOPMENT - OMEED | |||||||
| 1818 JOURDAN COURT | EAGAN | MN | 55122 | NONE | 501(C)(3) | GENERAL PURPOSE CONTRIBUTION | $5,000 |
| ST JUDE CHILDREN'S RESEARCH HOSPITAL | |||||||
| 32121 WOODWARD AVENUE SUITE 350 | ROYAL OAK | MI | 48073 | NONE | 501(C)(3) | GENERAL PURPOSE CONTRIBUTION | $1,000 |
| THE AMITY FOUNDATION | |||||||
| 850 N TELEGRAPH ROAD | DEARBORN | MI | 48128 | NONE | 501(C)(3) | GENERAL PURPOSE CONTRIBUTION | $17,000 |
| VISTA MARIA | |||||||
| 20651 WEST WARREN AVENUE | DEARBORN HEIGHTS | MI | 48127 | NONE | 501(C)(3) | GENERAL PURPOSE CONTRIBUTION | $500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $94,000 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $3 | ExclusionAmt |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $20,149 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $61,749 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $81,901 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $81,901 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp (2 entries)
| ContributorContributorNum | Address Line1ContributorUSAddress/AddressLine1Txt | CityContributorUSAddress/CityNm | State AbbreviationContributorUSAddress/StateAbbreviationCd | ZIPContributorUSAddress/ZIPCd | Total ContributionsTotalContributionsAmt | Person ContributionPersonContributionInd |
|---|---|---|---|---|---|---|
| KHAN 2009 GRANTOR CHARITABLE LEAD ANNUITY TRUST | ||||||
| 1 | 8 SHADY HOLLOW DRIVE | DEARBORN | MI | 48124 | $42,500 | Yes (X) |
| KHAN 2010 GRANTOR CHARITABLE LEAD ANNUITY TRUST | ||||||
| 2 | 8 SHADY HOLLOW DRIVE | DEARBORN | MI | 48124 | $42,500 | Yes (X) |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (3 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| EXCHANGE TRADED PRODUCTS | FMV | $534,879 | $534,879 |
| BOND FUNDS | FMV | $48,811 | $48,811 |
| EQUITY FUNDS | FMV | $150,042 | $150,042 |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | UNREALIZED CHANGE IN ASSET VALUE | Desc |
| Amt | $32,022 | Amt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | BROKER FEES | Desc |
| Revenue And Expenses Per Books | $6,667 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $6,667 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Substantial Contributors Sch SubstantialContributorsSch
Substantial Contributor Detail SubstantialContributorDetail (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd |
|---|---|---|---|
| KHAN 2009 GRANTOR CHARITABLE LEAD ANNUITY TRUST | |||
| 8 SHADY HOLLOW DRIVE | DEARBORN | MI | 48124 |
| KHAN 2010 GRANTOR CHARITABLE LEAD ANNUITY TRUST | |||
| 8 SHADY HOLLOW DRIVE | DEARBORN | MI | 48124 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | FOREIGN | CategoryTxt |
| Amt | $52 | Amt |
| Net Investment Income | $52 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Comments