2018-05-15T07:52:24-05:00 2017-12-31 381915036 JAFFE RAITT HEUER & WEISS 27777 FRANKLIN ROAD SUITE 2500 SOUTHFIELD MI 480348214 990PF 2017-01-01 271481206 KHAN FAMILY FOUNDATION KHAN 3132772977 861 MONROE STREET DEARBORN MI 48124 SHABANA KHAN VICE-PRESIDENT 3132772977 2018-05-07 1 AARON H SHERBIN ESQ P00737718 2483513000 2017 2022-09-23 18:48:47Z X 594480 X 85000 603 603 4389 4389 15064 1981941 15064 1496 1496 106552 21552 0 0 0 91 91 0 5089 5089 0 5180 5180 0 97100 97100 102280 5180 97100 4272 16372 225145 429580 429580 375507 164900 164900 600652 594480 594480 0 0 X 0 0 0 0 600652 594480 600652 594480 600652 594480 600652 4272 0 604924 10444 594480 CIG SECURITIES ACCOUNT TR6-003255 P 1980740 1966877 13863 13863 CAPITAL GAIN DISTRIBUTIONS P 1167 1167 1167 CASH-IN-LIEU P 34 34 34 15064 0 66000 554181 0.119095 76700 511850 0.149849 73370 484852 0.151325 51500 423233 0.121682 55100 346105 0.159200 0.701151 0.140230 559056 78396 164 78560 97100 X 164 0 164 0 164 0 0 0 0 0 164 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 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 289622 277948 0 567570 0 0 567570 8514 559056 27953 27953 164 164 27789 0 27789 0 27789 97100 0 97100 164 96936 27789 0 0 38259 31376 49874 51141 38811 209461 97100 0 0 0 27789 69311 0 0 278772 0 0 0 0 0 0 38259 240513 31376 49874 51141 38811 69311 SHABANA KHAN X ALIGARH MUSLIM UNIVERSITY ALUMNI ASSOCIATION OF MICHIGAN 1218 AZIZ DRIVE CANTON MI 48188 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 500 AMERICAN MUSLIM CENTER INC 21110 OUTER DRIVE DEARBORN MI 48124 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 15000 BURMA TASK FORCE - JUSTICE FOR ALL 27 E MONROE STREET 700 CHICAGO IL 60603 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 16000 COUNCIL ON AMERICAN-ISLAMIC RELATIONSHIPS INC - USA (CAIR) 453 NEW JERSEY AVENUE SE WASHINGTON DC 20003 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTIONGENERAL PURPOSE CONTRIBUTION 3500 DAYS FOR GIRLS INTERNATIONAL 1610 B-22 GROVER STREET LYNDEN WA 98264 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 2000 APPNA MIGHIGAN CHAPTER INC 3017 WALNUT RIDGE DRIVE ANN ARBOR MI 48103 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 1000 FORGOTTEN HARVEST INC 21800 GREENFIELD ROAD OAK PARK MI 48237 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 10000 AMERICAN CANCER SOCIETY 20450 CIVIC CENTER DRIVE SOUTHFIELD MI 48076 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 100 INSTITUTE FOR SOCIAL POLICY AND UNDERSTANDING 6 PARKLANE BOULEVARD SUITE 510 DEARBORN MI 48126 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 7000 ISLAMIC CENTER OF AMERICA 19500 FORD ROAD DEARBORN MI 48128 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 2000 ISLAMIC SOCIETY OF NORTH AMERICA - ISNA DEVELOPMENT FOUNDATION PO BOX 808 PLAINFIELD IN 46168 NONE RELIGIOUS ORGANIZATI GENERAL PURPOSE CONTRIBUTION 1000 PROJECT DIGNITY OUTREACH 23302 WEST WARREN AVENUE DEARBORN HEIGHTS MI 48127 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 5000 ORGANIZATION FOR MEDICAL EDUCATION & ECONOMIC DEVELOPMENT OMEED 1818 JOURDAN COURT EAGAN MN 55122 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 10000 AMITY FOUNDATION 7435 N LAFAYETTE STREET DEARBORN HEIGHTS MI 48127 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 1000 RAYYAN CENTER 4200 SIX MILE ROAD NORTHVILLE MI 48168 NONE RELIGIOUS ORGANIZATI GENERAL PURPOSE CONTRIBUTION 2000 READING WORKS 645 GRISWOLD STREET SUITE 2600 DETROIT MI 48226 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 1000 US FUND FOR UNICEF 125 MAIDEN LANE NEW YORK NY 10038 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 20000 97100 0 14 603 14 4389 14 1496 18 15064 0 21552 0 21552 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 164900 164900 UNREALIZED DECREASE IN ASSET VALUE 10444 BROKER FEES 5089 5089 0 FORM 1099-MISC, BOX 3 1496 1496 1496 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 FOREIGN TAXES 91 91 0