2015-05-11T14:42:50-05:00 2014-12-31 381915036 JAFFE RAITT HEUER & WEISS 27777 FRANKLIN ROAD SUITE 2500 SOUTHFIELD MI 480348214 990PF 2014-01-01 271481206 KHAN FAMILY FOUNDATION KHAN 3132772977 861 MONROE STREET DEARBORN MI 48124 SHABANA KHAN VICE-PRESIDENT 3132772977 2015-05-06 1 AARON H SHERBIN ESQ P00737718 2483513000 2014 2016-02-25 16:41:14Z X 542855 X 85000 20 20 4046 4046 36360 2327425 36360 125426 40426 0 0 0 1598 0 0 3071 3071 0 4669 3071 0 73370 73370 78039 3071 73370 47387 37355 97420 185783 185783 395932 357072 357072 493352 542855 542855 0 0 X 0 0 0 0 493352 542855 493352 542855 493352 542855 493352 47387 2116 542855 0 542855 PUBLICLY TRADED SECURITIES - ACCT 3255 P 1224192 1211314 12878 12878 PUBLICLY TRADED SECURITIES - ACCT 3814 P 1103233 1079751 23482 23482 36360 0 51500 423233 0.121682 55100 346105 0.159200 49999 74408 0.671957 500 6337 0.078902 0 19 0.000000 1.031741 0.206348 484852 100048 374 100422 73370 747 0 747 0 747 1040 1040 293 293 0 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 313768 178468 0 492236 0 0 492236 7384 484852 24243 24243 747 747 23496 0 23496 0 23496 73370 0 73370 0 73370 23496 0 0 182 46281 38259 31376 116098 73370 0 0 0 23496 49874 0 0 165972 0 0 0 0 0 0 0 165972 182 46281 38259 31376 49874 SHABANA KHAN X AMERICAN MUSLIM CENTER INC 21110 OUTER DRIVE DEARBORN MI 48124 NONE PUBLIC CHARITY GENERAL PURPOSE CONTRIBUTION 20000 COUNCIL ON AMERICAN-ISLAMIC RELATIONSIPS INC - MICHIGAN CHAPTER 21700 NORTHWESTERN HIGHWAY 815 SOUTHFIELD MI 48075 NONE PUBLIC CHARITY GENERAL PURPOSE CONTRIBUTION 1000 FORGOTTEN HARVEST INC 21800 GREENFIELD ROAD OAK PARK MI 48237 NONE PUBLIC CHARITY GENERAL PURPOSE CONTRIBUTION 3000 IMAM MAHDI ASSOCIATION OF MARJAEYA 835 MASON ST 100 DEARBORN MI 48124 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 500 ZAMAN INTERNATIONAL 5203 SCHAEFER ROAD DEARBORN MI 48126 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 300 OAKWOOD HEALTHCARE FOUNDATION 15500 LUNDY PARKWAY DEARBORN MI 48126 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 250 ISLAMIC CENTER OF AMERICA 19500 FORD ROAD DEARBORN MI 48128 NONE PUBLIC CHARITY GENERAL PURPOSE CONTRIBUTION 2000 DEARBORN ORCHESTRAL SOCIETY INC PO BOX 2063 DEARBORN MI 481232063 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 300 MUSLIMS AGAINST HUNGER A DBA OF OUR PLACE INC PO BOX 12 PLUCKEMIN NJ 07978 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 500 ORGANIZATION FOR MEDICAL EDUCATION & ECONOMIC DEVELOPMENT OMEED 1818 JOURDAN COURT EAGAN MN 55122 NONE PUBLIC CHARITY GENERAL PURPOSE CONTRIBUTION 20000 UNITED STATES FUND FOR UNICEF 125 MAIDEN LANE 10TH FLOOR NEW YORK NY 10038 NONE PUBLIC CHARITY GENERAL PURPOSE CONTRIBUTION 10000 SYRIAN SUNRISE FOUNDATION PO BOX 250549 FRANKLIN MI 48025 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 1000 MICHIGAN ISLAMIC ACADEMY 2301 PLYMOUTH ROAD ANN ARBOR MI 48105 NONE PUBLIC CHARITY GENERAL PURPOSE CONTRIBUTION 1000 COUNCIL ON AMERICAN-ISLAMIC RELATIONSIPS INC - USA 453 NEW JERSEY AVENUE SE WASHINGTON DC 20003 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 1000 HOLOCAUST MEMORIAL CENTER 28123 ORCHARD LAKE ROAD FARMINGTON HILLS MI 48334 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 1000 ALBANIAN AMERICAN MOSLEM SOCIETY OF DETROIT 19775 HARPER AVENUE HARPER WOODS MI 48225 NONE CHURCH BUILDING FUND 5000 INSTITUTE FOR SOCIAL POLICY AND UNDERSTANDING 6 PARKLANE BOULEVARD SUITE 510 DEARBORN MI 48126 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 5000 ALIGARH MUSLIM UNIVERSITY ALUMNI ASSOCIATION OF MICHIGAN 1218 AZIZ DRIVE CANTON MI 48188 NONE 501(C)(3) GENERAL PURPOSE CONTRIBUTION 1520 73370 0 14 20 14 4046 18 36360 0 40426 0 40426 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 ISHARES CHINA LARGE CAP ETF AT COST 0 0 ISHARES RUSSELL 2000 ETF AT COST 0 0 WISDOMTREE JAPAN HEDGED EQUITY FD ETF AT COST 0 0 POWERSHARES EXCHANGE TRADED FUND FMV 178663 178663 SPDR S&P 500 ETF TRUST FMV 178409 178409 BROKER FEES 3071 3071 0 UNREALIZED INCREASE IN ASSET VALUE 2116 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 US TREASURY 1598 0 0