2017-04-14T07:36:49-05:00 2016-12-31 381915036 JAFFE RAITT HEUER & WEISS 27777 FRANKLIN ROAD SUITE 2500 SOUTHFIELD MI 480348214 990PF 2016-01-01 271481206 KHAN FAMILY FOUNDATION KHAN 3132772977 861 MONROE STREET DEARBORN MI 48124 SHABANA KHAN VICE-PRESIDENT 3132772977 2017-03-31 1 AARON H SHERBIN ESQ P00737718 2483513000 12.47.87.132 2017-03-31 09:33:21 ED P D3DD33B7234D9A924D378E23AB9E3F14584F88C4 D3DD33B7234D9A924D378E23AB9E3F14584F88C4 2016 2021-01-29 14:40:06Z X 600652 X 85000 27 27 5013 5013 26339 2592496 26339 116379 31379 0 0 0 1 1 0 5356 5356 0 5357 5357 0 66000 66000 71357 5357 66000 45022 26022 227069 225145 225145 310121 375507 375507 537190 600652 600652 0 0 X 0 0 0 0 537190 600652 537190 600652 537190 600652 537190 45022 18440 600652 0 600652 CIG SECURITIES ACCOUNT TR6-003255 P 2592496 2566157 26339 26339 26339 0 76700 511850 0.149849 73370 484852 0.151325 51500 423233 0.121682 55100 346105 0.159200 49999 74408 0.671957 1.254013 0.250803 554181 138990 260 139250 66000 520 0 520 0 520 209 209 311 0 0 0 0 0 0 0 0 0 0 1 1 MI 1 0 1 0 0 1 N/A BLUNDEN ASSOCIATES PC 7342930055 14600 FARMINGTON RD STE 105 LIVONIA MI 48154 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 265667 296953 0 562620 0 0 562620 8439 554181 27709 27709 520 520 27189 0 27189 0 27189 66000 0 66000 0 66000 27189 0 0 46281 38259 31376 49874 51141 216931 66000 0 0 0 27189 38811 0 0 255742 0 0 0 0 0 0 46281 209461 38259 31376 49874 51141 38811 SHABANA KHAN X IMAM MAHDI ASSOCIATION OF MARJAEYA 835 MASON ST 100 DEARBORN MI 48124 NONE RELIGIOUS ORGANIZATI GENERAL PURPOSE CONTRIBUTION 500 ALIGARH MUSLIM UNIVERSITY ALUMNI ASSOCIATION OF MICHIGAN 1218 AZIZ DRIVE CANTON MI 48188 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 1500 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 5000 INSTITUTE FOR SOCIAL POLICY AND UNDERSTANDING 6 PARKLANE BOULEVARD SUITE 510 DEARBORN MI 48126 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 1500 COUNCIL ON AMERICAN-ISLAMIC RELATIONSHIPS INC - USA (CAIR) 453 NEW JERSEY AVENUE SE WASHINGTON DC 20003 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 3000 DAYS FOR GIRLS INTERNATIONAL 1610 B-22 GROVER STREET LYNDEN WA 98264 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 2000 DEARBORN PUBLIC LIBRARY FOUNDATION 16301 MICHIGAN AVENUE DEARBORN MI 48126 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 500 FORGOTTEN HARVEST INC 21800 GREENFIELD ROAD OAK PARK MI 48237 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 7500 ICNA RELIEF USA PROGRAMS 87-91 144 STREET JAMAICA NY 11435 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 500 ISLAMIC CENTER OF AMERICA 19500 FORD ROAD DEARBORN MI 48128 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 3000 ISLAMIC SOCIETY OF NORTH AMERICA - ISNA DEVELOPMENT FOUNDATION PO BOX 808 PLAINFIELD IN 46168 NONE RELIGIOUS ORGANIZATI GENERAL PURPOSE CONTRIBUTION 2000 LIFE FOR RELIEF AND DEVELOPMENT 17300 W 10 MILE ROAD SOUTHFIELD MI 48075 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 500 OUR PLACE INC - MUSLIMS AGAINST HUNGER PROJECT PO BOX 12 PLUCKEMIN NJ 07978 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 5000 RAYYAN CENTER 4200 SIX MILE ROAD NORTHVILLE MI 48168 NONE RELIGIOUS ORGANIZATI GENERAL PURPOSE CONTRIBUTION 5000 READING WORKS 645 GRISWOLD STREET SUITE 2600 DETROIT MI 48226 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 2000 US FUND FOR UNICEF 125 MAIDEN LANE NEW YORK NY 10038 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 10000 ZAMAN INTERNATIONAL 26091 TROWBRIDGE STREET INKSTER MI 48141 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 500 66000 0 14 27 14 5013 18 26339 0 31379 0 31379 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 375507 375507 BROKER FEES 5356 5356 0 UNREALIZED INCREASE IN ASSET VALUE 18440 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 1 1 0