2020-08-03T09:43:22-05:00 2019-12-31 381915036 JAFFE RAITT HEUER & WEISS 27777 FRANKLIN ROAD SUITE 2500 SOUTHFIELD MI 480348214 990PF 2019-01-01 271481206 KHAN FAMILY FOUNDATION KHAN 3132772977 861 MONROE STREET DEARBORN MI 48124 SHABANA KHAN VICE-PRESIDENT 3132772977 2020-07-01 1 AARON H SHERBIN ESQ P00737718 2483513000 12.47.87.132 2020-07-01 14:09:35 ED P 8B1D1BE3B632004E0B033E3F6A6D8C996E96529B 8B1D1BE3B632004E0B033E3F6A6D8C996E96529B 2019 2022-02-16 14:24:37Z X 668265 X 85000 268 16845 1513 15414 860080 15414 117527 16927 0 0 0 120 120 0 5649 5649 0 5769 5769 0 82000 82000 87769 5769 82000 29758 11158 59327 84658 84658 530909 583607 583607 590236 668265 668265 0 0 X 0 0 0 0 590236 668265 590236 668265 590236 668265 590236 29758 48271 668265 0 668265 CIG SECURITIES ACCOUNT XXX-3255 P 728366 716892 11474 11474 CIG SECURITIES ACCOUNT XXX-3255 P 131625 127774 3851 3851 CAPITAL GAIN DISTRIBUTIONS P 89 89 89 15414 0 59200 573981 0.103139 96936 559056 0.173392 66000 554181 0.119095 76700 511850 0.149849 73370 484852 0.151325 0.696800 0.139360 616693 85942 112 86054 82000 223 0 223 0 223 196 0 0 196 0 27 0 0 0 0 0 0 0 0 0 0 1 1 MI 1 0 1 0 0 1 N/A JAFFE RAITT HEUER WEISS PC 2483513000 27777 FRANKLIN ROAD SUITE 2500 SOUTHFIELD MI 48034 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 NONE 0 NONE 0 0 566997 59087 0 626084 0 0 626084 9391 616693 30835 30835 223 223 30612 0 30612 0 30612 82000 0 82000 0 82000 30612 0 0 49874 51141 38811 69311 30605 239742 82000 0 0 0 30612 51388 0 0 291130 0 0 0 0 0 0 49874 241256 51141 38811 69311 30605 51388 SHABANA KHAN X ALIGARH MUSLIM UNIVERSITY ALUMNI ASSOCIATION OF MICHIGAN 1218 AZIZ DRIVE CANTON MI 48188 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 1500 AMERICAN LEARNING INSTITUTE FOR MUSLIMS PO BOX 871785 CANTON MI 48188 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 1000 AMERICAN MUSLIM CENTER INC 21110 OUTER DRIVE DEARBORN MI 48124 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 20000 APPNA MIGHIGAN CHAPTER INC 3017 WALNUT RIDGE DRIVE ANN ARBOR MI 48103 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 3000 COUNCIL ON AMERICAN-ISLAMIC RELATIONSHIPS INC - USA (CAIR) 453 NEW JERSEY AVENUE SE WASHINGTON DC 20003 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 1000 DAYS FOR GIRLS INTERNATIONAL PO BOX 2622 MOUNT VERNON WA 98273 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTIONGENERAL PURPOSE CONTRIBUTION 2000 FORGOTTEN HARVEST INC 21800 GREENFIELD ROAD OAK PARK MI 48237 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 7500 IMRAN KHAN CANCER APPEAL INC - SHAUKAT KHANUM MEMORIAL TRUST FOUR FOREST PARK DRIVE FARMINGTON CT 06032 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 5000 ISLAMIC CENTER OF AMERICA INC 19500 FORD ROAD DEARBORN MI 48128 NONE PUBLIC CHARITY GENERAL PURPOSE CONTRIBUTION 3000 JUSTICE FOR ALL - BURMA TASK FORCE 27 E MONROE STREET SUITE 700 CHICAGO IL 60603 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 1000 MASJID MADINATUL ILM 37775 PALMER ROAD WESTLAND MI 48186 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 1000 ORGANIZATION FOR MEDICAL EDUCATION & ECONOMIC DEVELOPMENT - OMEED 1818 JOURDAN COURT EAGAN MN 55122 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 10000 PROJECT DIGNITY OUTREACH 23302 WEST WARREN AVENUE DEARBORN HEIGHTS MI 48127 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 5000 RAHMA RELIEF FOUNDATION 31333 SOUTHFIELD ROAD SUITE 100 BEVERLY HILLS MI 48025 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 500 RAYYAN CENTER 40764 COACHWOOD CIRCLE NORTHVILLE MI 48168 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 10000 THE AMITY FOUNDATION PO BOX 1053 DEARBORN HEIGHTS MI 48127 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 4000 UNITED STATES FUND FOR UNICEF 125 MAIDEN LANE NEW YORK NY 10038 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 5000 VISTA MARIA 20651 WEST WARREN AVENUE DEARBORN HEIGHTS MI 48127 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 500 THE VIMM FUND WORLD MISSIONS - VOLUNTEERS IN MEDICAL MISSIONS 265 S COVE ROAD SENECA SC 29672 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 1000 82000 0 14 268 14 16845 18 15414 0 32527 0 32527 0 0 0 0 0 0 0 0 0 0 X X 1 KHAN 2009 GRANTOR CHARITABLE LEAD ANNUITY TRUST 8 SHADY HOLLOW DRIVE DEARBORN MI 48124 42500 X 2 KHAN 2010 GRANTOR CHARITABLE LEAD ANNUITY TRUST 8 SHADY HOLLOW DRIVE DEARBORN MI 48124 42500 X EXCHANGE TRADED PRODUCTS FMV 583607 583607 BROKER FEES 5649 5649 0 UNREALIZED INCREASE IN ASSET VALUE 48271 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 INCOME TAX 120 120 0