2017-05-11T11:34:13-05:00 2016-12-31 263753134 CBIZ TOFIAS 500 BOYLSTON STREET BOSTON MA 02116 990PF 2016-01-01 046925866 FAN FAMILY FOUNDATION C/O JOHN FAN TRUSTEE FANF 6179752363 39 WELCH ROAD BROOKLINE MA 02445 JOHN FAN TRUSTEE 6179752363 2017-05-02 1 JOHN T WILMOT P00095129 6177610600 2017-05-02 207.172.72.163 2017-05-02 12:36:25 ED P 102C1995D04F643618E9EB8F2AEF5D32C98268A5 102C1995D04F643618E9EB8F2AEF5D32C98268A5 2016 2021-01-29 14:40:06Z X 2781373 X 998895 9963 9963 20379 20379 -18924 599845 28168 8746 8746 1019059 67256 0 0 0 362 362 0 8060 4030 0 6218 218 0 15563 15313 0 30203 19923 0 120000 120000 150203 19923 120000 868856 47333 99423 88940 88940 215729 175190 178663 1013521 1959580 2125050 450959 424778 388720 1779632 2648488 2781373 0 0 X 0 0 0 0 1779632 2648488 1779632 2648488 1779632 2648488 1779632 868856 0 2648488 0 2648488 IVY ASSET STRATEGY FUND CL I P 2015-12-10 2016-05-13 1 1 0 0 IVY ASSET STRATEGY FUND CL I P 2014-01-14 2016-05-13 9999 15373 -5374 -5374 FEDERAL FARM CREDIT BANK BONDS P 2012-05-31 2016-12-12 35000 35000 0 0 ANACOR PHARMACEUTICLS IN D 2005-04-28 2016-06-29 46350 2078 44272 44272 UBS 6677 P 2016-01-01 2016-12-31 193905 201913 -8008 -8008 UBS 6677 P 2016-01-01 2016-12-31 235684 241636 -5952 -5952 UBS 6678 P 2016-01-01 2016-12-31 60534 58826 1708 1708 UBS 6678 P 2016-01-01 2016-12-31 17562 17991 -429 -429 K-1: POWERSHARES DB COMMODITY INDEX P 2016-01-01 2016-12-31 1141 1141 CAPITAL GAINS DIVIDENDS P 810 810 810 28168 0 84874 1344785 0.063113 82011 1458923 0.056213 37983 604406 0.062844 25847 549353 0.047050 30880 577960 0.053429 0.282649 0.056530 2038784 115252 473 115725 120000 X 473 0 473 0 473 9874 9874 9401 9401 0 0 0 0 0 0 0 0 0 0 0 1 1 MA 1 0 1 0 0 1 N/A JOHN FAN TRUSTEE 7819752363 39 WELCH ROAD BROOKLINE MA 02445 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 JOHN FAN 39 WELCH ROAD BROOKLINE MA 02445 TRUSTEE 1.00 0 0 0 NONE 0 NONE 0 0 1771254 298577 0 2069831 0 0 2069831 31047 2038784 101939 101939 473 473 101466 0 101466 0 101466 120000 0 120000 473 119527 101466 0 0 2292 7797 17043 17887 45019 120000 0 0 0 101466 18534 0 0 63553 0 0 0 0 0 0 2292 61261 7797 17043 17887 18534 JOHN FAN X BROOKLINE TEEN CENTER 40 ASPINWALL AVENUE BROOKLINE MA 02445 NONE PUBLIC CHARITY 501(C UNRESTRICTED 5000 HARVARD UNIVERSITY 5 JAMES STREET CAMBRIDGE MA 02138 NONE PUBLIC CHARITY 501(C UNRESTRICTED 100000 MA INSTITUTE OF TECHNOLOGY 77 MASSACHUSETTS AVENUE CAMBRIDGE MA 02139 NONE PUBLIC CHARITY 501(C UNRESTRICTED 5000 SOUTH COVE MANOR NURSING AND REHABILITATION CENTER 120 SHAWMUT AVENUE BOSTON MA 02118 NONE PUBLIC CHARITY 501(C UNRESTRICTED 5000 TRUSTEES OF TUFTS UNIVERSITY 80 GEORGE STREET MEDFORD MA 02155 NONE PUBLIC CHARITY 501(C UNRESTRICTED 5000 120000 0 14 9963 14 20379 14 8746 18 -18924 0 20164 0 20164 0 0 0 0 0 0 0 0 0 0 X X 1 JOHN CC FAN 39 WELCH ROAD BROOKLINE MA 02445 998895 X 1 SHARES IN VARIOUS PUBLICALLY TRADED EQUITY SECURITIES 998895 2016-12-23 CBIZ TOFIAS 8060 4030 0 MERRILL LYNCH 1453698 1562478 UBS 505882 562572 175190 178663 0 0 MERRILL LYNCH AT COST 129506 98360 UBS AT COST 295272 288274 MERRILL LYNCH - ACCRUED INTEREST AT COST 0 2086 LEGAL FEES 362 362 0 MERRILL LYNCH - ADVISORY FEES 6948 6948 0 MASSACHUSETTS FILING FEE 250 0 0 UBS - ADVISORY FEES 7866 7866 0 POWERSHARES K-1 OTHER DEDUCTIONS 382 382 0 EMA ANNUAL FEE 117 117 0 K-1: POWERSHARES DB COMMODITY INDEX 8746 8746 8746 JOHN CC FAN 39 WELCH ROAD BROOKLINE MA 02445 FEDERAL EXCISE TAXES 6000 0 0 FOREIGN TAXES 218 218 0